| NPI | 1457632606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLENE BRAGGS Member 708-715-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 14821) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |