| NPI | 1407116726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ELLEN DODGE Occupational Therapist 773-633-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.002463) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |