| NPI | 1902200470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN IBRAHIM Physical Therapist 708-655-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070008354) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |