NPI | 1134138936 |
---|---|
Entity Type | Organization |
Authorized Contact | VISHAKHA SHAH Administrator/Physical Therapist 708-923-1768 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 060-006868) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 060-006868) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2009-04-06 |