NPI | 1023564085 |
---|---|
Doing Business As | DISTINCTIVE THERAPY SERVICES |
Entity Type | Organization |
Authorized Contact | LEONARD WANTA President 630-789-8962 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070021814) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |