| NPI | 1386736130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA DAWN SZADORSKI Practice Administrator 708-478-5890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-12-08 |