NPI | 1093349342 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT KIRK Director 708-710-9931 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |