Organization
GO KID GO THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JOSUPAIT P.T. (PRESIDENT)
(630) 240-2962
Entity
Organization
Contact information
Practice address
131 FLINN STREET, SUITE A, BATAVIA, IL 60510
(630) 425-3134
Mailing address
7 RALPH JUDD CT, SUGAR GROVE, IL 60554-4010
(630) 240-2962
(630) 405-1129
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070012467
IL
Other
Enumeration date
10/04/2016
Last updated
10/26/2016
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