| NPI | 1538281340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S YOUNG Administrator 815-788-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |