| NPI | 1083360648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WATKINS Director Of Credentialing 630-296-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |