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Organization

LEMON TREE PEDIATRIC THERAPY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE JEAN LEMON OTD, OTR/L (OCCUPATIONAL THERAPIST)
(708) 351-5429
Entity
Organization

Contact information

Practice address
7753 VANBUREN ST, UNIT 317, FOREST PARK, IL 60130-4802
(708) 351-5429
(855) 529-1595
Mailing address
7753 VANBUREN ST #317, FOREST PARK, IL 60130
(708) 351-5429
(855) 529-1595

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
056007887
IL

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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