| NPI | 1770116501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN ESPINOSA Owner 815-710-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-04-14 |