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Organization

NORTH SHORE PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH MICHAEL OTR/L (OCCUPATIONAL THERAPIST)
(847) 486-4140
Entity
Organization

Contact information

Practice address
1442 OLD SKOKIE RD, HIGHLAND PARK, IL 60035-3032
(847) 486-4140
Mailing address
1307 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(847) 942-2187

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
07/20/2007
Last updated
07/30/2007
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