NPI | 1487820205 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURIE C EARLEY Physical Therapist 847-204-9960 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070-008568) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |