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 |