| NPI | 1649354739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAWRENCE MAXWELL Physical Therapist President 630-220-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |