Other Side of the Rainbow
NPI #1497148803 in Richton Park, Illinois
Provider Information
- NPI Number
- 1497148803
- Entity Type
- Organization
- Organization Name
- Other Side of the Rainbow
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Mar 9, 2015
- Last Updated
- Mar 9, 2015
Practice Location
- Address
- 22006 JORDAN LN
- City
- Richton Park
- State
- Illinois
- ZIP Code
- 60471-1268
- Phone
- (708) 612-2881
Authorized Official
- Name
- FREDERICA JOHNSON
- Title
- PRESIDENT
- Phone
- (708) 612-2881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
| Occupational Therapist - Pediatrics — Pediatrics |
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