| NPI | 1457059313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNGSOO SHIN Physical Therapist/Owner 217-688-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2025-05-14 |