NPI | 1154669935 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE JEAN LEMON Occupational Therapist 708-351-5429 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056007887) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2013-01-29 |