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Organization
PEDIATRIC THERAPY
Active
Organization
PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MICHELLE MICHAEL OTR/L (PRESIDENT)
(847) 486-4140
Entity
Organization
Contact information
Practice address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
(847) 486-4145
Mailing address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
(847) 486-4145
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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