NPI | 1497090302 |
---|---|
Entity Type | Organization |
Authorized Contact | WITOLD MIERZWA Owner 773-354-3063 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2012-12-04 |
Last Update Date | 2019-01-28 |