| NPI | 1720579170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE SPINELLA PT/Manager 773-491-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-011463) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-03-29 |