| NPI | 1902519416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN SHEADE Owner 847-612-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |