| 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 |