| NPI | 1477132579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH NICOLE BERGE Occupational Therapist 815-505-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |