NPI | 1487679247 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY R PFITZNER CEO/President 618-651-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070009519) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-08-22 |