| NPI | 1477602373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ROAT Owner 630-548-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057000054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.003.158) |
| 225X00000X Occupational Therapist (Licence: IL 056000256) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |