| Kaleidoscope Therapy, Llc | |
|
486 Glen Crossing Rd, Glen Carbon, IL 62034-1500 | |
| (618) 977-4683 | |
| Not Available |
| Full Name | Kaleidoscope Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 486 Glen Crossing Rd, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619011012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Therapy, Llc 486 Glen Crossing Rd, Glen Carbon, IL 62034-1500 Ph: () - | Kaleidoscope Therapy, Llc 486 Glen Crossing Rd, Glen Carbon, IL 62034-1500 Ph: (618) 977-4683 |
Kyle John Blievernicht, MOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4955 S State Route 159 Ste B, Glen Carbon, IL 62034 Phone: 618-288-4677 Fax: 618-288-4699 | |
Ms. Robyn Rae Somraty, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 486 Glen Crossing Rd, Glen Carbon, IL 62034 Phone: 618-977-4683 Fax: 314-754-9528 | |
Jessica G Hyatt, OTR/L CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4955 S State Route 159 Ste B, Glen Carbon, IL 62034 Phone: 618-288-4677 | |
Donna Blood, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Marlo Ann Stuart, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S Station Rd, Glen Carbon, IL 62034 Phone: 618-205-4631 | |
Pamela Long, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Saffrin Hill Ct, Glen Carbon, IL 62034 Phone: 314-877-8754 |