| NPI | 1134417652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BAUER Owner/Occupational Therapist 309-966-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056.004578) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |