Skills 4 Life Ot, LLC

NPI #1164088225 in Mount Vernon, Illinois

Provider Information

NPI Number
1164088225
Entity Type
Organization
Organization Name
Skills 4 Life Ot, LLC
Primary Specialty
Occupational Therapist
Enumeration Date
May 14, 2019
Last Updated
May 14, 2019

Practice Location

Address
2020 BROADWAY ST APT 1
ZIP Code
62864-2963
Phone
(618) 214-0371

Authorized Official

Name
NANCY A SIMMONS, MHS, OTR/L
Title
OCCUPATIONAL THERAPIST
Phone
(618) 214-0371

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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