| NPI | 1063269058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA STEIMEL Owner 815-501-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |