NPI | 1235292111 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS M SCOFIELD President 815-233-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070002137) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070013008) |
225100000X Physical Therapist (Licence: IL 070007121) | |
225100000X Physical Therapist (Licence: IL 070012362) | |
225X00000X Occupational Therapist (Licence: IL 056006602) | |
225X00000X Occupational Therapist (Licence: IL 056000666) | |
225X00000X Occupational Therapist (Licence: IL 056001054) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |