Individual provider · Type 1 NPI

Tea Marie Soberano, OTD, OTR/L

Occupational Therapist · Peoria, IL

NPI number 1841153285 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2381 Map

Mailing address

75 Yotzonot Dr Apt 208
Bloomington, IL 61704-8580

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056016886 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1841153285

Tea Marie Soberano, OTD, OTR/L's National Provider Identifier is 1841153285, issued on Dec 3, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Peoria, IL. The record was last updated on Dec 3, 2025.