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Organization
BAMBINOS THERAPY, INC.
Active
Organization
BAMBINOS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY LYNN CONNOLLY MOTR/L (OCCUPATIONAL THERAPIST)
(708) 921-2300
Entity
Organization
Contact information
Practice address
9834 S HAMLIN AVE, EVERGREEN PARK, IL 60805-3363
(708) 921-2300
Mailing address
9834 S HAMLIN AVE, EVERGREEN PARK, IL 60805-3363
(708) 921-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/08/2019
Last updated
04/09/2019
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