NPI | 1760476311 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS G. SALVI Managing Member 815-455-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2005-09-09 |
Last Update Date | 2020-08-22 |