Therapy Yoga Gymnastics Rocks LLC
NPI #1124331608 in Northbrook, Illinois
Provider Information
- NPI Number
- 1124331608
- Entity Type
- Organization
- Organization Name
- Therapy Yoga Gymnastics Rocks LLC
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Jul 26, 2010
- Last Updated
- Oct 22, 2011
Practice Location
- Address
- 1845 RAYMOND DR
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-6712
- Phone
- (847) 414-1057
Authorized Official
- Name
- DALA AAVIK LUCAS, OTR/L
- Title
- MANAGER
- Phone
- (847) 414-1057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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