| NPI | 1366514473 |
|---|---|
| Other Name | TINLEY PARK LOCATION |
| Entity Type | Organization |
| Authorized Contact | KRISTA DAWN SZADORSKI Manager 708-226-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |