| NPI | 1538687488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ESPIRITU President 773-983-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014130) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160006266) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |