| NPI | 1538613674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GREENHAGEN Co Owner Physical Therapist 815-793-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070020085) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: IL 070010389) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2018-05-22 |