| NPI | 1366010423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERILLE MANILA Partner 847-922-1992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |