NPI | 1316498124 |
---|---|
Other Name | PAMELA CAVALLO |
Entity Type | Organization |
Authorized Contact | PAMELA A CAVALLO Owner/Developmental Therapist 708-805-0653 |
Organization Subpart ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL 222Q00000X) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |