| NPI | 1609513241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MANSELL Owner 708-955-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-10-17 |