NPI | 1114506102 |
---|---|
Doing Business As | LEGENDS HOME THERAPY |
Entity Type | Organization |
Authorized Contact | LAUREN LORENSEN Administrator 847-750-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2023-09-08 |