| NPI | 1134213077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J. SULLIVAN Facility Director 217-522-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-08-20 |