NPI | 1417965161 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA KOVELESKI KRAUT Physical Therapist / Owner 847-268-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012674) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-013381) |
225100000X Physical Therapist (Licence: IL 070-014366) | |
225100000X Physical Therapist (Licence: IL 070-003166) | |
225100000X Physical Therapist (Licence: IL 070-010329) | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2010-04-22 |