| NPI | 1285974311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W EARLY V.P. / Physical Therapist 815-548-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |