| NPI | 1699374124 |
|---|---|
| Doing Business As | FUNCTIONAL PHYZIO AND PERFORMANCE THERAPY |
| Entity Type | Organization |
| Authorized Contact | NORAH WHITTEN Owner/ Physical Therapist 217-493-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |