| NPI | 1588193593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON LIDDLE Owner 312-401-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-21 |