| NPI | 1699240978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE ANDREW Physical Therapist 312-388-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |