NPI | 1972727360 |
---|---|
Entity Type | Organization |
Authorized Contact | SONIA M KWAPISINSKI Owner 815-675-0699 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70015875) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-009098) |
225100000X Physical Therapist (Licence: IL 070-005775) | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2008-03-04 |