Organization
MORAN DEVELOPMENTAL THERAPY INC
Active
Organization
MORAN DEVELOPMENTAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY JO MORAN (PRESIDENT)
(847) 345-6230
Entity
Organization
Contact information
Practice address
4779 W PEBBLE BEACH DR, WADSWORTH, IL 60083-9276
(847) 345-6230
(224) 538-2454
Mailing address
4779 W PEBBLE BEACH DR, WADSWORTH, IL 60083-9276
(847) 345-6230
(224) 538-2454
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NM71930298P
IL
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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