| NPI | 1295367084 |
|---|---|
| Former Legal Business Name | CORISSA J KEEFNER |
| Entity Type | Organization |
| Authorized Contact | CORISSA J KEEFNER Owner, Physical Therapist 773-458-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |