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 |