| NPI | 1487804324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE PETALBER President 815-298-8587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 060009899) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |