| NPI | 1699174250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WALDRON Physical Therapist 224-436-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MN 9799) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |