| NPI | 1174779623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BEACH Executive Assistant 630-691-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2023-09-26 |