| NPI | 1700295631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN N CERALDE President 815-517-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070011875) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-11-18 |