| NPI | 1780763987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A. BOERSMA Director Of Physical Therapy 815-483-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070-011466) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |