| NPI | 1356565238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN THERESE BATALDEN Owner 815-758-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-005903) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-013157) |
| 225100000X Physical Therapist (Licence: IL 070-013129) | |
| 225200000X Physical Therapy Assistant (Licence: IL 160-000589) | |
| 225700000X Massage Therapist (Licence: IL 227-001277) | |
| 225X00000X Occupational Therapist (Licence: IL 056-005205) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-08-20 |