| NPI | 1235560418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND PRANADA Owner 217-979-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070016146) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |