| NPI | 1821188160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L NOOTBAAR Pediatric Physical Therapist 847-913-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070003335) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |