| NPI | 1407054604 |
|---|---|
| Doing Business As | NOVACARE OUTPATIENT REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | LAUREN MARIE MEDINA Physical Therapist 618-937-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.015760) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |