| NPI | 1366783797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVELEI CIARA PEPITO President 815-219-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070-017839) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-04-08 |