| NPI | 1831968916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE LYNN WEBB Physical Therapist 773-875-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2026-04-17 |