| NPI | 1740653286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BRAGER Owner 217-246-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 174N00000X Lactation Consultant, Non-RN | |
| 222Q00000X Developmental Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2025-01-14 |