| NPI | 1508068453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R PFITZNER CEO President 618-651-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070009519) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |