| NPI | 1366711095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR LOCHERT Owner 312-420-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| 224Y00000X Clinical Exercise Physiologist | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |