| NPI | 1316963762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R PFITZNER CEO President 618-651-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070014296) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 056006794) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-09-16 |