| NPI | 1750997037 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | DANIELLE L BAILEY Physical Therapist 708-415-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 175L00000X Homeopath | |
| 225700000X Massage Therapist | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |