NPI | 1194873935 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER DANIELLE BRIM Owner 708-799-5569 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2015-01-28 |