Early Wonders Pediatrics, LLC

NPI #1477032274 in Columbia, Illinois

Provider Information

NPI Number: 1477032274
Entity Type: Organization
Organization Name: Early Wonders Pediatrics, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 406 TERRY DRIVE
City: Columbia
State: Illinois
ZIP Code: 62236-1551
Phone: (618) 205-6223

Authorized Official

Name: LINDSAY JEAN BOGGIO, MSOT, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (618) 205-6223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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