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 |