Organization
COURAGEOUS PLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH KRANZ-OWENS PT (AUTHORIZED OFFICIAL)
(773) 412-3722
Entity
Organization
Contact information
Practice address
1318 W WILSON AVE, UNIT 2A, CHICAGO, IL 60640-6243
(773) 412-3757
(773) 506-2529
Mailing address
1318 W WILSON AVE, UNIT 2A, CHICAGO, IL 60640-6243
(773) 412-3757
(773) 506-2529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-010102
IL
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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