| 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 |