| NPI | 1023632338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL LUTZ Physical Therapist 217-853-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |