Organization
WYANT PEDIATRIC THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KATHRYN WYANT OTR/L (PRESIDENT)
(847) 975-5508
Entity
Organization
Contact information
Practice address
734 N HORIZON CT, LINDENHURST, IL 60046-7868
(847) 975-5508
(847) 265-4523
Mailing address
734 N HORIZON CT, LINDENHURST, IL 60046-7868
(847) 975-5508
(847) 265-4523
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
235Z00000X
Speech-Language Pathologist
—
IL
Other
Enumeration date
01/05/2008
Last updated
01/05/2008
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