Organization
FOUNDATIONS THERAPY, LLC
Active
Organization
FOUNDATIONS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERINNE SNYDER DT (DEVELOPMENTAL THERAPIST)
(309) 989-7724
Entity
Organization
Contact information
Practice address
14255 GRANDVIEW DR, MANITO, IL 61546-8627
(309) 989-7724
Mailing address
14255 GRANDVIEW DR, MANITO, IL 61546-8627
(309) 989-7724
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
EH90471113P
IL
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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