NPI | 1467570796 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES IBARDALOZA Physical Therapist 773-561-7342 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070013285) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |