| NPI | 1154539724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M SORENSEN Owner 815-444-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070006055) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-14 |