Organization · Type 2 NPI
South Loop Pediatric Therapy LLC
Pediatric Physical Therapist · Chicago, IL
Practice location
1515 S Prairie Ave, Unit 603
Chicago, IL 60605-3043
Fax (773) 435-6595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 070.013558 (IL) |
| Early Intervention Provider Agency | 252Y00000X | 070.013558 (IL) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1356677462
South Loop Pediatric Therapy LLC's National Provider Identifier is 1356677462, issued on Oct 23, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Chicago, IL. The record was last updated on Oct 23, 2009.