| NPI | 1609243567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY VAN SANTEN Physical T Herapist 708-227-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070008117) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |