Organization
CHRISTA HOLBERG PEDIATRIC THERAPY L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA MARIE HOLBERG MS, OTR/L (OCCUPATIONAL THERAPIST)
(773) 456-4040
Entity
Organization
Contact information
Practice address
2225 ENTERPRISE DR STE 2505, WESTCHESTER, IL 60154-5805
(773) 456-4040
Mailing address
1453 E 54TH PL APT 3, CHICAGO, IL 60615-5428
(773) 456-4040
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056007669
IL
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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