| NPI | 1750509865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIYA J. OMOSANYA Manager 708-296-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.005754) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004128A) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |