| NPI | 1649022518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY M SCHANKS Owner/Slp 815-545-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-26 |