| NPI | 1417736042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN D NEWBERRY Owner/Physical Therapist 309-826-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |