| NPI | 1073831194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A. JOHNSON President 815-228-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056002220) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2023-12-15 |