| NPI | 1396981742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R SEMLOW Owner 815-223-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070003050) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |