Organization
OT SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN GLEICH MOT, OTR/L (OCCUPATIONAL THERAPIST AND OWNER)
(618) 580-6541
Entity
Organization
Contact information
Practice address
238 W WOODLAND RDG, VALMEYER, IL 62295-3011
(618) 580-6541
(888) 388-2143
Mailing address
238 W WOODLAND RDG, VALMEYER, IL 62295-3011
(618) 580-6541
(888) 388-2143
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
056009230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321867874001
—
IL
Enumeration date
11/12/2013
Last updated
12/31/2013
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