Provider Demographics
NPI:1144629643
Name:SMALL FRIENDS THERAPY LLC
Entity type:Organization
Organization Name:SMALL FRIENDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JL YODER
Authorized Official - Last Name:ROMASANTA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:773-951-7201
Mailing Address - Street 1:4457 N MAPLEWOOD AVE
Mailing Address - Street 2:#2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3014
Mailing Address - Country:US
Mailing Address - Phone:773-951-7201
Mailing Address - Fax:
Practice Address - Street 1:4457 N MAPLEWOOD AVE
Practice Address - Street 2:#2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3014
Practice Address - Country:US
Practice Address - Phone:773-951-7201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty