| NPI | 1912252651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE HARTMANN Therapy Program Director 1815-218-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 05600853) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |