| NPI | 1952920696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LYNN POND Physical Therapist/Owner 773-551-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |