| Children's Therapy Spot | |
|
450 Cottonwood Rd Glen Carbon IL 62034-2772 | |
| (618) 977-4683 | |
| Not Available |
| Full Name | Children's Therapy Spot |
|---|---|
| Speciality | Clinic/center |
| Location | 450 Cottonwood Rd, Glen Carbon, Illinois |
| Authorized Official Name and Position | Lori Michele Tassinari (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 6184666508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Therapy Spot 878 Marc Dr Alton IL 62002-4268 Ph: (618) 466-6508 | Children's Therapy Spot 450 Cottonwood Rd Glen Carbon IL 62034-2772 Ph: (618) 977-4683 |
| NPI Number | 1306078738 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306078738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 056.006084 (Illinois) | Primary |
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