| NPI | 1124809280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEOK OH President 224-616-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |