| NPI | 1487601910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SEEBER President 815-236-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-013947) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.005154) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |