| NPI | 1316583107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN R. MACH Physical Therapist, Founder, Owner 309-264-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |