| NPI | 1619011012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN RAE SOMRATY Owner 618-977-4683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056003614) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |