| NPI | 1952194698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINGFANG BALOGA Owner 773-301-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |