Organization
CORAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANJELICA SIERRA MHS., CCC-SLP (PRESIDENT)
(847) 529-4339
Entity
Organization
Contact information
Practice address
1571 W GROVE ST, ADDISON, IL 60101-5769
(847) 529-4339
(630) 625-6015
Mailing address
1571 W GROVE ST, ADDISON, IL 60101-5769
(847) 529-4339
(630) 625-6015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/07/2019
Last updated
08/07/2019
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