| NPI | 1679283188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN N WEBSTER Owner And Physical Therapist 217-808-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2022-11-25 |