Above And Beyond Pediatric Therapy, Corp

NPI 1114288693 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1114288693
Enumeration Date 05/31/2012
Last Updated 05/31/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MELISSA MELISSA
Position OWNER
Phone (708) 307-5462
Fax
Practice Location
25145 SPRING ST
MANHATTAN IL, 60442-1402, US
Phone (708) 307-5462
Fax
Business Location
25145 SPRING ST
MANHATTAN IL, 60442-1402, US
Phone
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State
License Number
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According to our database, Above And Beyond Pediatric Therapy, Corp NPI is 1114288693, taxonomy code is 252Y00000X Above And Beyond Pediatric Therapy, Corp physically located at 25145 Spring St, Manhattan IL, 60442-1402. NPI Number 1033115704 has the healthcare provider type.

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1114288693 NPI number is provided on an as is basis without warranty of any kind. 1114288693 is maintained by the National Plan & Provider Enumeration System. The contents of Above And Beyond Pediatric Therapy, Corp are for informational purposes only.