| NPI | 1144416736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA R JOYNER Co Owner/Adm 618-998-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070007095) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-11-14 |