| NPI | 1689746216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLINDA HENSHAW Owner 618-993-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.003255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070013687) |
| 225100000X Physical Therapist (Licence: IL 070001021) | |
| 225100000X Physical Therapist (Licence: IL 070015812) | |
| 225X00000X Occupational Therapist (Licence: IL 056006919) | |
| 225X00000X Occupational Therapist (Licence: IL 056007020) | |
| 225X00000X Occupational Therapist (Licence: IL 056006921) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-07-19 |