| NPI | 1720448855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI L LOPINA Owner/Manager 708-743-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.012932) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007339) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-12-11 |