NPI | 1841473014 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL MARK PATRNCHAK Physical Therapist Owner 815-399-5734 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 0700002325) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |