| NPI | 1508658527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE JACKSON Owner 847-530-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-22 |