| NPI | 1104544410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA CAIN Occupational Therapy Assistant 309-643-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |