Breakthrough Pediatric Therapy Services
Breakthrough Pediatric Therapy Services is a Pediatric Occupational Therapist in Benton, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
13030 Gulley LnBenton, IL 62812-4110
Phone: (618) 218-2653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X |
|---|
Record details
| NPI number | 1346820834 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Stubblefield — Otr/L · (618) 218-2653 |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | April 9, 2021 |
| Certification date | April 9, 2021 |
| Mailing address | 13030 Gulley Ln, Benton, IL 62812-4110 |