| NPI | 1376667402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY DOBBECK President 815-356-9510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070005088) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |