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Organization

LITTLE WONDERS THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY ELLEN KUEBRICH (PRESIDENT)
(618) 604-4158
Entity
Organization

Contact information

Practice address
600 N LIBERTY ST, JERSEYVILLE, IL 62052-1559
(618) 604-4158
Mailing address
600 N LIBERTY ST, JERSEYVILLE, IL 62052-1559

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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