| NPI | 1023188547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HENNINGS Owner 815-462-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056005782) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-09-06 |