| NPI | 1558662973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WILLIAM SODERLUND Physical Therapist 630-767-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012850) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2012-05-02 |