| NPI | 1851722946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MANZANO President/Occupational Therapist 618-305-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 248.000873) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2014-11-04 |