| NPI | 1306142302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BUTTS Physical Therapist 8158-718-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.001642) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |