NPI | 1538281340 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS S YOUNG Administrator 815-788-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 225100000X Physical Therapist |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2025-09-11 |