NPI | 1225177827 |
---|---|
Doing Business As | VITAL CARE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ERIC ANDERSON Administrator 815-942-4875 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042007183) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |