| NPI | 1538569934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERNANDO ENTENA CATAPAT CEO 224-425-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2015-05-05 |