Organization
KICK START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER WEISZ M.S., OTR/L (OCCUPATIONAL THERAPIST)
(847) 386-6560
Entity
Organization
Contact information
Practice address
1845 OAK ST, SUITE 15, NORTHFIELD, IL 60093-3022
(847) 386-6560
(847) 423-6701
Mailing address
1845 OAK ST, SUITE 15, NORTHFIELD, IL 60093-3022
(847) 386-6560
(847) 423-6701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056002913
IL
225X00000X
Occupational Therapist
Primary
056007907
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/14/2011
Last updated
06/15/2012
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