Provider Demographics
NPI:1902220205
Name:HARWOOD PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:HARWOOD PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:847-380-0461
Mailing Address - Street 1:26237 WHISPERING WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-2656
Mailing Address - Country:US
Mailing Address - Phone:847-380-0461
Mailing Address - Fax:815-327-1376
Practice Address - Street 1:26237 WHISPERING WOODS CIR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-2656
Practice Address - Country:US
Practice Address - Phone:847-380-0461
Practice Address - Fax:815-327-1376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056005334252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency