Healthcare Provider Details

I. General information

NPI: 1194645697
Provider Name (Legal Business Name): PARA THERABRI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4149 S COTTAGE GROVE AVE APT 205
CHICAGO IL
60653-3873
US

IV. Provider business mailing address

4149 S COTTAGE GROVE AVE APT 205
CHICAGO IL
60653-3873
US

V. Phone/Fax

Practice location:
  • Phone: 773-387-5330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRIANA LEFLORIE
Title or Position: OWNER
Credential: DROT, OTR/L, CLT
Phone: 773-387-5330