| NPI | 1659659373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE EHLENFELDT President/Physical Therapist 312-993-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070013025) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |