Organization
MOVING FORWARD PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JINGFANG BALOGA (OWNER)
(773) 301-8937
Entity
Organization
Contact information
Practice address
3 VIGILANCE CT, BOLINGBROOK, IL 60440-1223
(630) 205-1266
Mailing address
3 VIGILANCE CT, BOLINGBROOK, IL 60440-1223
(630) 205-1266
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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