| NPI | 1952592594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH P FRIESER President/Secretary 312-640-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2010-02-24 |