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Organization

BARBARA OLSON CENTER OF HOPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARM HERMAN (EXECUTIVE DIRECTOR)
(815) 964-9275
Entity
Organization

Contact information

Practice address
3206 N CENTRAL AVE, ROCKFORD, IL 61101-1756
(815) 964-9275
(815) 964-9607
Mailing address
3206 N CENTRAL AVE, ROCKFORD, IL 61101-1756
(815) 964-9275
(815) 964-9607

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224Z00000X
Occupational Therapy Assistant
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XH1300X
Human Factors Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
11/26/2008
Last updated
11/21/2011
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