| NPI | 1144733643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK T WIRTH Occupational Therapist 847-204-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0003876) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-12 |