NPI | 1285773051 |
---|---|
Doing Business As | VITAL CARE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ERIC ANDERSON Administrator 815-942-4875 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
213ES0103X Podiatrist Foot & Ankle Surgery | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
332B00000X Durable Medical Equipment & Medical Supplies | |
363A00000X Physician Assistant | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2009-01-21 |