Organization
ACHIEVING MY POTENTIAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LADING (OWNER)
(779) 435-9507
Entity
Organization
Contact information
Practice address
3508 OLD RENWICK TRL, JOLIET, IL 60435-9221
(779) 435-9507
Mailing address
3508 OLD RENWICK TRL, JOLIET, IL 60435-9221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009699
IL
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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