| NPI | 1386821619 |
|---|---|
| Other Name | KIDS ON THE GO THERAPIES |
| Entity Type | Organization |
| Authorized Contact | MARY HERMES Physical Therapist/ Owner 773-495-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 24707) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 24707) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-01-14 |