| NPI | 1639733959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JEAN LEMON Co Owner 708-351-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |