| NPI | 1518309772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA SOPHIA SIKACZOWSKI Owner 815-814-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2017-05-03 |