| NPI | 1265530281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN BRAATEN-HEIDENREICH Owner 815-685-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056002460) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |