| NPI | 1275775421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN C TODD Owner 708-445-3965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251X0800X Physical Therapist Orthopedic (Licence: IL 070013594) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2022-10-10 |