| NPI | 1497539779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER D DA GAMA ROSE Physical Therapist/Owner 217-320-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-04-05 |