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Organization

BIG STEPS FOR LITTLE FEET

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE MARIA LENARD PT (DIRECTOR)
(708) 476-6273
Entity
Organization

Contact information

Practice address
6017 W 123RD ST, PALOS HEIGHTS, IL 60463-1802
(708) 476-6273
(708) 371-6303
Mailing address
6017 W 123RD ST, PALOS HEIGHTS, IL 60463-1802
(708) 476-6273
(708) 371-6303

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
070.005015
IL
252Y00000X
Early Intervention Provider Agency
Primary
070.005015
IL

Other

Enumeration date
07/02/2010
Last updated
07/02/2010
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