| NPI | 1477833812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA STONITSCH Senior Therapist/Owner 815-301-7068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2022-04-08 |