NPI | 1013044536 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER L MOKY Physical Therapist 847-384-6804 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070013246) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |