Above And Beyond Pediatric Therapy, Corp
Early Intervention Provider Agency in Manhattan, IL. Organization (NPI-2).
NPI number1114288693
StatusActive
Last updated in NPPESMay 31, 2012
Details
- NPI
- 1114288693
- Entity type
- Organization (NPI-2)
- Legal business name
- Above And Beyond Pediatric Therapy, Corp
- Organization subpart
- No
- Enumeration date
- May 31, 2012
- Last updated
- May 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
25145 Spring StManhattan, IL 60442-1402
Phone 708-307-5462
Mailing address
25145 Spring StManhattan, IL 60442-1402
Authorized official
Melissa Culligan
Owner
7083075462
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