| NPI | 1518597772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GENDRON Physical Therapist/Owner 312-447-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-18 |