Organization
KIDSCONNECT PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLA NITZOY OTR/L (PRESIDENT/OCCUPATIONAL THERAPIST)
(773) 474-1546
Entity
Organization
Contact information
Practice address
1144 LAKE ST STE 200B, OAK PARK, IL 60301-1043
(708) 763-9582
(833) 523-2338
Mailing address
729 HAYES AVE, OAK PARK, IL 60302-1705
(708) 763-9582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/27/2021
Last updated
05/25/2023
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