| NPI | 1487253464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KOEHL Owner/Physical Therapist 312-203-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |