| NPI | 1891865648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE A MEYER Cco 630-296-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 53000048A) |
| 225X00000X Occupational Therapist (Licence: IN 53000048A) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2026-02-27 |