| NPI | 1881069789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KELLING Physical Therapist 815-546-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH pt013341) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-10-28 |