| NPI | 1043359961 |
|---|---|
| Doing Business As | VITAL CARE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ERIC ANDERSON Administrator 815-942-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-01-21 |