Organization · Type 2 NPI

Starved Rock Regional Center for Therapy & Child Development

Voluntary or Charitable Agency · Ottawa, IL

NPI number 1063544401 Active

Practice location

1013 Adams Street
Ottawa, IL 61354-4304

Fax (815) 434-2260

Specialties and licenses

TaxonomyCodeLicense
Pediatric Rehabilitation Medicine Physician 2081P0010XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Voluntary or Charitable Agency 251V00000XNone listed
Voluntary or Charitable Agency Primary 251V00000XNone listed

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About NPI 1063544401

Starved Rock Regional Center for Therapy & Child Development's National Provider Identifier is 1063544401, issued on Mar 12, 2007. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Ottawa, IL. The record was last updated on Jun 19, 2018.