KICK START

NPI # 

Practice Address:

1845 Oak St , Suite 15

Northfield, IL, 60093-3022

Practice Phone:

847-386-6560

Practice Fax:

847-423-6701

License Number:

056002913

License State:

IL

Taxonomy Grouping:

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Classification:

Occupational Therapist

Taxonomy Code:

225X00000X