| NPI | 1558176966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN MALLEN Occupational Therapist 630-776-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |