| NPI | 1427702547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN VILLASENOR Owner 708-638-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-09-14 |