| NPI | 1831325075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIOUS G MANABAT President 815-483-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011699) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070008654) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |