NPI | 1073274981 |
---|---|
Entity Type | Organization |
Authorized Contact | EFOSA GUOBADIA CEO 312-835-0841 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 225200000X Physical Therapy Assistant |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2022-01-03 |
Last Update Date | 2023-05-22 |