Organization
THERAPEUTIC TECHNIQUES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA YUDORA ROUNDTREE OTR/L (PRESIDENT/DIRECTOR)
(708) 414-6590
Entity
Organization
Contact information
Practice address
16820 MANOR DR, SOUTH HOLLAND, IL 60473-4608
(708) 474-6590
(708) 474-6599
Mailing address
PO BOX 1836, CALUMET CITY, IL 60409-7836
(708) 474-6590
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
056002350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163598
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/11/2006
Last updated
10/21/2008
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