| NPI | 1881814986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HATZL Billing And Collections Supervisor 815-744-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |