| NPI | 1366210577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY BLOOM Owner, Physical Therapist 224-656-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |