Organization
CYPRESS THERAPY AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY J. HEINZ-NEWINGHAM MS CCC/SLP (EXECUTIVE OFFICER)
(217) 556-1225
Entity
Organization
Contact information
Practice address
RR 3 BOX 46, CARROLLTON, IL 62016-9506
(217) 556-1225
(214) 942-3717
Mailing address
RR 3 BOX 46, P.O. BOX 45, CARROLLTON, IL 62016-9506
(217) 556-1225
(214) 942-3717
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
146005569
IL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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