| NPI | 1073838330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE SUZANNE J KUPISZEWSKI Owner 630-219-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24388) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-01-13 |