NPI | 1982327458 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLY STEVENS PT A 815-354-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 104100000X Social Worker |
224Z00000X Occupational Therapy Assistant | |
225200000X Physical Therapy Assistant | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
101Y00000X Counselor | |
Enumeration Date | 2022-09-20 |
Last Update Date | 2023-03-09 |