| NPI | 1821168204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIOUS MANABAT Rehabilitation Manager 815-508-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70008654) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-05-13 |