| NPI | 1053506451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EARL GIVEN President 815-477-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.008697) |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2008-01-09 |