| NPI | 1881737427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN GASIOR President 773-909-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-06-02 |