Organization
KG THERAPY PLLC
Active
Other names
Therapy District
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO OCAMPO (MANAGER)
(630) 666-2871
Entity
Organization
Contact information
Practice address
1131 MCHENRY RD # 107A, BUFFALO GROVE, IL 60089-1369
(224) 305-1097
Mailing address
1131 MCHENRY RD # 107A, BUFFALO GROVE, IL 60089-1369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
05/07/2024
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