| NPI | 1699377960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN CLAUSSEN CEO 219-427-7839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-07-28 |