Organization
TODDLERS N' TYKES THERAPY INC.
Active
Other names
KidAbility Therapy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MEDER-JENDERSAK MOT OTR/L (OCCUPATIONAL THERAPIST/CEO)
(630) 673-6050
Entity
Organization
Contact information
Practice address
19227 JUNIPER LN, MOKENA, IL 60448-8132
(630) 373-6050
(708) 478-5291
Mailing address
19227 JUNIPER LN, MOKENA, IL 60448-8132
(630) 373-6050
(708) 478-5291
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235277393
EARLY INTERVENTION
IL
01
—
1316068661
EARLY INTERVENTION
IL
Enumeration date
09/20/2007
Last updated
09/20/2007
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