NPI | 1255455986 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISTON KEE President 773-330-8025 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070010589) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |