| NPI | 1558490540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE BERG President 219-374-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-09-11 |