NPI | 1114486099 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT PAINTER President 815-978-3298 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-03-19 |