| NPI | 1396119988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE FONTANA SMITH Physical Therapist; Owner 815-893-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 248001268) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-04-25 |