Organization
KINDER GROWTH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI LEVIN (PRESIDENT)
(201) 249-0048
Entity
Organization
Contact information
Practice address
230 E OHIO ST, CHICAGO, IL 60611-3265
(201) 249-0048
Mailing address
3 MOET CT, JACKSON, NJ 08527-3090
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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