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Organization
SHAPING THE PATH
Active
Organization
SHAPING THE PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON TRAVNIK OTR/L (OWNER)
(708) 400-1793
Entity
Organization
Contact information
Practice address
651 SOJOURN RD, NEW LENOX, IL 60451-2396
(815) 531-7639
Mailing address
651 SOJOURN RD, NEW LENOX, IL 60451-2396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/01/2020
Last updated
05/24/2021
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