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Organization

MIGHTY MOBILE KIDS PEDIATRIC THERAPY, PLLC

Active
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Organization

MIGHTY MOBILE KIDS PEDIATRIC THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE VIVERITO PT, DPT (PHYSICAL THERAPIST)
(773) 981-8996
Entity
Organization

Contact information

Practice address
6960 W IMLAY ST, CHICAGO, IL 60631-1771
(773) 981-8996
Mailing address
6960 W IMLAY ST, CHICAGO, IL 60631-1771
(773) 981-8996

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—

Other

Enumeration date
08/13/2026
Last updated
08/13/2026
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