| NPI | 1053431031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRIIA L WOOWARD Office Manager 815-877-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070009699) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |