| NPI | 1003343062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI JAMES Physical Therapist 773-351-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 60663) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-05-20 |