| NPI | 1568589844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C NYE President 708-403-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070002810) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: IL 070002810) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070002810) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |