| NPI | 1699129734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR RAPPA Physical Therapist 309-824-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 038952) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-08-29 |