NPI | 1023289436 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA JOANNE KEMNETZ Owner/Occupational Therapist 815-932-0381 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: IL 056-006344) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2010-06-29 |