| NPI | 1336400738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN HAWBAKER Physical Therapist 309-657-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070011663) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-05 |