NPI | 1639673130 |
---|---|
Doing Business As | INVICTUS SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | AMADOR AYALA Owner/Physical Therapist 847-980-6826 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-023307) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-04-14 |