| NPI | 1639908734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SENNSTROM Occupational Therapist 815-751-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |