Over The Moon Pediatric Therapy Co Valid NPI
Organization · Early Intervention Provider Agency · New Lenox, IL
- NPI
- 1710308580
- Type
- Organization (Type 2)
- Primary specialty
- Early Intervention Provider Agency
- Specialty group
- Agencies
- Taxonomy code
- 252Y00000X
- License number
- MV60460511P (IL)
- Enumerated
- 2013-12-21
- Last updated
- 2013-12-21
Practice location
3308 Ivywild Ln
New Lenox, IL 60451-9517
(815) 212-0536