| NPI | 1124143177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M VAIL Physical Therapist 708-499-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 060005170) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-30 |