Organization
HOPE'S PLAYGROUND PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LYNN MORNINGSTAR MOT, OTR (OCCUPATIONAL THERAPIST)
(847) 323-8057
Entity
Organization
Contact information
Practice address
311 W DEPOT ST, SUITE F, ANTIOCH, IL 60002-1500
(847) 838-8085
(224) 788-8121
Mailing address
311 W DEPOT ST, SUITE F, ANTIOCH, IL 60002-1500
(847) 838-8085
(262) 997-9403
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-005853
IL
Other
Enumeration date
04/14/2007
Last updated
09/23/2008
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