| NPI | 1831479542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTON KEE Physical Therapist 312-278-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070010589) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011057) |
| 225X00000X Occupational Therapist (Licence: IL 056003575) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2015-09-22 |