| NPI | 1508088030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE JOHNSON Director 847-899-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-06-05 |