NPI | 1124331608 |
---|---|
Doing Business As | TYGR |
Entity Type | Organization |
Authorized Contact | DALA AAVIK LUCAS Manager 847-414-1057 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.001897) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2011-10-22 |