Innovations Pediatric Therapy, LLC
NPI #1003356817 in Bloomington, Illinois
Provider Information
- NPI Number
- 1003356817
- Entity Type
- Organization
- Organization Name
- Innovations Pediatric Therapy, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Feb 27, 2017
- Last Updated
- Feb 27, 2017
Practice Location
- Address
- 1 YOUNT DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3745
- Phone
- (309) 824-7417
Authorized Official
- Name
- REBECCA L GOLLADAY, OTR/L
- Title
- OWNER
- Phone
- (309) 824-7417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Feeding, Eating & Swallowing — Feeding, Eating & Swallowing |
| Occupational Therapist - Pediatrics — Pediatrics |
| Occupational Therapist |
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