Pediatric Therapy Services of Macomb, LLC

NPI #1467538173 in Macomb, Illinois

Provider Information

NPI Number: 1467538173
Entity Type: Organization
Organization Name: Pediatric Therapy Services of Macomb, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 130 N SIDE SQ
City: Macomb
State: Illinois
ZIP Code: 61455-2214
Phone: (309) 836-3456

Authorized Official

Name: MRS. CHERYL LYNN BAKER, OTR/L
Title: OWNER
Phone: (309) 836-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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