| NPI | 1871981308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL MORTERA President 773-934-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL P14000098488) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |