| NPI | 1912726290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BLANCHARD Physical Therapist 708-696-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |