NPI | 1356806285 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL E BOLDT CFO 309-743-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2019-02-05 |
Last Update Date | 2019-02-05 |