Provider Demographics
NPI:1699390724
Name:MS. OLIVIA'S THERAPY, INC.
Entity Type:Organization
Organization Name:MS. OLIVIA'S THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MOTR/L
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-448-0450
Mailing Address - Street 1:955 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3634
Mailing Address - Country:US
Mailing Address - Phone:312-579-9478
Mailing Address - Fax:
Practice Address - Street 1:955 WILLOW RD
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-3634
Practice Address - Country:US
Practice Address - Phone:847-448-0450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty