NPI | 1609243567 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY VAN SANTEN Physical Therapist 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 |