Organization
LIBERTY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ESCOBAR (VICE-PRESIDENT)
(773) 474-6158
Entity
Organization
Contact information
Practice address
5509 N BROADWAY ST, CHICAGO, IL 60640-1405
(773) 506-9960
Mailing address
PO BOX 480134, NILES, IL 60714-0134
(773) 506-9960
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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