| NPI | 1801957055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGITTE JANE CUTLER Physical Therapist 217-546-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070008310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070009000) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-01-22 |