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Organization
TIMBER RIDGE PEDIATRIC THERAPY, LLC
Active
Organization
TIMBER RIDGE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A GOLTZ OTR/L (PRESIDENT)
(847) 804-0040
Entity
Organization
Contact information
Practice address
8707 SKOKIE BLVD, SUITE 402, SKOKIE, IL 60077
(847) 877-5210
(847) 510-0430
Mailing address
3716 DAVIS ST, SKOKIE, IL 60076-1745
(847) 982-5822
(847) 982-5823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/14/2008
Last updated
01/25/2024
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