| NPI | 1912020223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHNEEL DELOS CIENTOS. MENDOZA Physical Therapist 773-780-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |