Organization
PEDIATRIC THERAPY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTON KEE PT (PHYSICAL THERAPIST)
(312) 278-0022
Entity
Organization
Contact information
Practice address
2506 N CLARK ST, #158, CHICAGO, IL 60614-1848
(312) 278-0022
(888) 975-3791
Mailing address
2506 N CLARK ST, #158, CHICAGO, IL 60614-1848
(312) 278-0022
(888) 975-3791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070011057
IL
2251P0200X
Pediatric Physical Therapist
Primary
070010589
IL
225X00000X
Occupational Therapist
056003575
IL
235Z00000X
Speech-Language Pathologist
—
IL
Other
Enumeration date
08/25/2011
Last updated
09/22/2015
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