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General NPI Number Information
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NPI Number | 1811884521
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Entity Type | Organization
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Legal Business Name | VDT THERAPY INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 6760 W GUNNISON ST
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City | HARWOOD HEIGHTS
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State | IL
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Zip | 60706-4054
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Country | US
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Telephone | 872-400-6056
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Fax |
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Provider Business Mailing Address
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Address Line | 6760 W GUNNISON ST
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City | HARWOOD HEIGHTS
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State | IL
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Zip | 60706-4054
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Country | US
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Telephone | 872-400-6056
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VICTORIA OCHOA
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Credential | THERAPIST
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Telephone | 872-400-6056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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