Organization
GARZA THERAPEUTIC PLAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA MEJIA (DEVELOPMENTAL THERAPIST)
(312) 731-6795
Entity
Organization
Contact information
Practice address
4819 S LAMON AVE, CHICAGO, IL 60638-2122
(312) 731-6795
(312) 276-4255
Mailing address
4819 S LAMON AVE, CHICAGO, IL 60638-2122
(312) 731-6795
(312) 276-4255
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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