| NPI | 1770803686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J SULLIVAN Owner 847-381-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: IL 056001363) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |