Organization
FUNCTIONAL THERAPLAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL MARIE NICK OTR/L (OCCUPATIONAL THERAPIST)
(847) 802-0664
Entity
Organization
Contact information
Practice address
2125 FAIRFIELD RD, LINDENHURST, IL 60046-9232
(847) 802-0664
Mailing address
2125 FAIRFIELD RD, LINDENHURST, IL 60046-9232
(847) 802-0664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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