| NPI | 1346264629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J OXFORD Physical Therapist CEO 618-382-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-007175) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |