| NPI | 1437266327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN BREAULT President 815-986-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009033) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-09-11 |