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>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1891703757

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
14513 BENSLEY AVE  BURHAM, IL 60633-2205 US
Tel: 708-730-3328  Fax: 708-730-0710

Contact information for business:
14513 BENSLEY AVE  BURHAM, IL 60633-2205 US
Tel: 708-730-3328  Fax: 708-730-0710

Registration Information:
NPI: 1891703757
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:



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