| NPI | 1780981365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE BRENDAN SHEA President 224-676-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070010546) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2013-08-02 |