| NPI | 1255001517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COVIAN-HERNANDEZ Physical Therapist 708-288-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |