Kick Start

NPI #1508154212 in Northfield, Illinois

Provider Information

NPI Number: 1508154212
Entity Type: Organization
Organization Name: Kick Start
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 14, 2011
Last Updated: Jun 15, 2012

Practice Location

Address: 1845 OAK ST
Address 2: SUITE 15
City: Northfield
State: Illinois
ZIP Code: 60093-3022
Phone: (847) 386-6560

Authorized Official

Name: ESTHER WEISZ, M.S., OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (847) 386-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Speech-Language Pathologist	235Z00000X

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