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General NPI Number Information
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NPI Number | 1588534663
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Entity Type | Organization
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Legal Business Name | OT KAY'S IMAGINATIVE PLAY, LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 233 S CONSTITUTION DR
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City | AURORA
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State | IL
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Zip | 60506
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Country | US
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Telephone | 630-777-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 1552 S ROUTE 59 # 1093
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City | NAPERVILLE
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State | IL
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Zip | 60564-5941
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | KATHRYN WINDISCH
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Credential | MOT, OTR/L
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Telephone | 630-777-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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