NPI | 1053758763 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE B JENSEN Occupational Therapist 773-738-6365 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.007801) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2013-06-04 |