NPI | 1407948748 |
---|---|
Doing Business As | AZER CLINIC |
Entity Type | Organization |
Authorized Contact | FAKHRY WILSON AZER President 309-344-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2023-03-16 |