| NPI | 1861259798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY LOCH Doctor Of Physical Therapy 630-537-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |