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Organization
KIDS CAN PEDIATRIC THERAPY INC.
Active
Organization
KIDS CAN PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RICHELLE LYNN RANDAZZO OTD, OTR/L (OCCUPATIONAL THERAPIST)
(708) 250-1535
Entity
Organization
Contact information
Practice address
1530 S STATE ST, UNIT 525, CHICAGO, IL 60605-2964
(708) 250-1535
(312) 643-1316
Mailing address
1530 S STATE ST, UNIT 525, CHICAGO, IL 60605-2964
(708) 250-1535
(312) 643-1316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007032
IL
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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