| NPI | 1730864380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GALLAS Doctor Of Physical Therapy 815-985-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |