| NPI | 1891363917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN KOOYENGA President 708-372-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |