Organization
PT 4 KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ELLEN MASUR P.T. (PRESIDENT)
(224) 629-0228
Entity
Organization
Contact information
Practice address
17N885 HIDDEN HILLS TRL, WEST DUNDEE, IL 60118-9519
(224) 629-0228
(847) 426-0107
Mailing address
17N885 HIDDEN HILLS TRL, WEST DUNDEE, IL 60118-9519
(224) 629-0228
(847) 426-0107
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
18873-09632
IL
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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