| NPI | 1336151042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L COLLINS Office Manager 815-756-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 060007594) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-04-26 |