| NPI | 1891263034 |
|---|---|
| Doing Business As | KIDZOOLA THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | DAMON SIMMONS President 312-404-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-09-28 |