| NPI | 1306078738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MICHELE TASSINARI Occupational Therapist 618-466-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 056.006084) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |