Kaleidoscope Therapy, LLC
NPI #1619011012 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1619011012
- Entity Type
- Organization
- Organization Name
- Kaleidoscope Therapy, LLC
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Feb 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 486 GLEN CROSSING RD
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-1500
- Phone
- (618) 977-4683
Authorized Official
- Name
- MS. ROBYN RAE SOMRATY, OTR
- Title
- OWNER
- Phone
- (618) 977-4683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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