| NPI | 1174954085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MICHELLE BIXBY President 815-703-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070007245) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |