Organization
INCHWORMS PEDIATRIC THERAPY, LLC
Active
Organization
INCHWORMS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GIFFHORN PT, DPT (PEDIATRIC PHYSICAL THERAPIST/OWNER)
(651) 587-5454
Entity
Organization
Contact information
Practice address
1350 W DIVERSEY PKWY APT 1, CHICAGO, IL 60614-6764
(651) 587-5454
Mailing address
1350 W DIVERSEY PKWY APT 1, CHICAGO, IL 60614-6764
(651) 587-5454
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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