| NPI | 1134485501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALGORZATA ZASADNY Physical Therapist/Owner 815-904-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2020-04-24 |