| NPI | 1659011468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M KELDERMANS Physical Therapist 217-899-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-08-27 |