NPI | 1205370533 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARI ANDRESS Owner 847-736-5297 |
Organization Subpart ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL SA87930903P) |
Enumeration Date | 2016-12-06 |
Last Update Date | 2016-12-06 |