NPI | 1003635350 |
---|---|
Entity Type | Organization |
Authorized Contact | JILLIAN MALLEN Occupational Therapist/Owner 630-776-0137 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2024-10-04 |
Last Update Date | 2024-10-04 |