NPI | 1841638228 |
---|---|
Former Legal Business Name | MCKENNA PHYSICAL THERAPY, INC. |
Doing Business As | MCKENNA PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | MOLLY LISENBY President 309-839-8631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070013673) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2024-03-26 |