| NPI | 1477708915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEE NOONAN Physical Therapist/ Owner 815-692-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014722) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2009-01-12 |