NPI | 1114758208 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI CHRISTINE WINTER Owner,President 815-325-5815 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |