| NPI | 1457975229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JANE HANSEN Physical Therapist 773-808-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-08 |