NPI | 1639530371 |
---|---|
Doing Business As | PROFORMANCE THERAPY |
Entity Type | Organization |
Authorized Contact | JUSTIN SILVER Member/Manager 773-957-6841 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070013977) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2024-06-18 |