| NPI | 1255972535 |
|---|---|
| Doing Business As | PHYSICAL THERAPY OF LAKE FORREST, LLC |
| Entity Type | Organization |
| Authorized Contact | ELLEN HUMPHREY Owner 847-455-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-05-13 |