Organization
KIDS PLACE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAM WYRUCHOWSKI (OCCUPATIONAL THERAPIST)
(630) 347-1702
Entity
Organization
Contact information
Practice address
324 N WALNUT LN, SCHAUMBURG, IL 60194-3838
(630) 347-1702
(847) 220-9295
Mailing address
324 N WALNUT LN, SCHAUMBURG, IL 60194-3838
(630) 347-1702
(847) 220-9295
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056007476
IL
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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