Provider Demographics
NPI:1851542757
Name:KIDS FIRST THERAPY, INC
Entity type:Organization
Organization Name:KIDS FIRST THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALAMA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:847-302-8983
Mailing Address - Street 1:1220 MILLET ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2754
Mailing Address - Country:US
Mailing Address - Phone:847-302-8983
Mailing Address - Fax:630-801-9497
Practice Address - Street 1:1220 MILLET ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2754
Practice Address - Country:US
Practice Address - Phone:847-302-8983
Practice Address - Fax:630-801-9497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty