| NPI | 1033997754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYLEY R SMITH Owner 217-335-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-10-07 |