| NPI | 1750321303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LLAMAS Physical Therapist 708-889-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05008375A) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |