NPI | 1598821308 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET K PUDERBAUGH Owner 630-673-4987 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-12-28 |
Last Update Date | 2021-09-08 |