| NPI | 1457067910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUIE R PRICE Owner/Occupational Therapist 815-823-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |