| NPI | 1861524878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN SKOLROOD Developmental Therapist 815-494-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |