Organization
LAUNCH PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH LANGE MOT (OWNER/OCCUPATIONAL THERAPIST)
(847) 521-0037
Entity
Organization
Contact information
Practice address
423 W GLEN AVE, PEORIA, IL 61614-4909
(847) 521-0037
Mailing address
423 W GLEN AVE, PEORIA, IL 61614-4909
(847) 521-0037
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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