| NPI | 1780336123 |
|---|---|
| Doing Business As | DREAM RIDERS |
| Entity Type | Organization |
| Authorized Contact | BRITTANY NICHOLE JUSTES Administrative Manager 815-788-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |