| NPI | 1013143304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIA MANABAT President 815-508-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070008654) |
| 225100000X Physical Therapist (Licence: IL 070011699) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2013-04-03 |