| NPI | 1427796523 |
|---|---|
| Doing Business As | OUTSIDE THE BOX THERAPY |
| Entity Type | Organization |
| Authorized Contact | JARED CORDUM Member 217-415-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-06-04 |