| NPI | 1215108741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ELAINE ROBERTS Occupational Therapist 815-489-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056.006306) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |