| NPI | 1487639423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARIE LANDREBE Owner PT 815-935-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 060005773) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2012-11-19 |