Organization
MINDFUL OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MILLER OT (OCCUPATIONAL THERAPIST)
(630) 296-4441
Entity
Organization
Contact information
Practice address
800 MADISON BLVD, BOLINGBROOK, IL 60490-5031
(630) 296-4441
Mailing address
800 MADISON BLVD, BOLINGBROOK, IL 60490-5031
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/04/2023
Last updated
12/06/2023
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