| NPI | 1073636189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN CHARLES ANDERSON President 217-698-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.011395) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |