| NPI | 1568335099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE JURCZAK Owner/Operator 217-377-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |