NPI | 1265680110 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD WAYNE RAUSCH President 312-860-4786 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070001827) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |