Organization
CONFIDENT KIDS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY SMITH (OCCUPATIONAL THERAPIST/OWNER)
(312) 434-6841
Entity
Organization
Contact information
Practice address
1411 W FARRAGUT AVE APT 1, CHICAGO, IL 60640-2103
(312) 434-6841
Mailing address
1411 W FARRAGUT AVE APT 1, CHICAGO, IL 60640-2103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009413
IL
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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