| NPI | 1295404820 |
|---|---|
| Doing Business As | ENGRAM THERAPY AND WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARLA MAE R HAVERLAND CEO 630-729-4344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-04-01 |