| NPI | 1679807200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE LABNO Member, President 847-372-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2012-08-02 |