| NPI | 1548059421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY BOLAND Occupational Therapist 815-276-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |