Organization
CRAWL WALK LEAP P.C.
Active
Organization
CRAWL WALK LEAP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA PIENKOS (PRESIDENT)
(414) 243-3491
Entity
Organization
Contact information
Practice address
236 S RACINE AVE APT 601, CHICAGO, IL 60607-2921
(414) 243-3491
Mailing address
236 S RACINE AVE APT 601, CHICAGO, IL 60607-2921
(414) 243-3491
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
02/03/2025
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