| NPI | 1003842261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RENEE BADGEROW-WATSON Owner 618-281-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070008665) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |