Organization
GO KID GO THERAPY SERVICES, LLC
Active
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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