| NPI | 1356415798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA REBECCA FLORES Physical Therapist 815-670-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-006434) |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |