| NPI | 1871010645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN D BANCSI CEO/Physical Therapist 708-567-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007382A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31003490A) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |