Midwest Children's Therapy, Pllc
NPI #1881466738 in East Peoria, Illinois
Provider Information
- NPI Number
- 1881466738
- Entity Type
- Organization
- Organization Name
- Midwest Children's Therapy, Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 110 CARVER LN
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-3052
- Phone
- (716) 308-9301
Authorized Official
- Name
- TATUM NICHOLS, PT, DPT
- Title
- CEO
- Phone
- (716) 308-9301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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