| 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 |