NPI | 1386058337 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH LAPORTA CEO 630-427-4192 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 160006753) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-06-18 |