| NPI | 1972879831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA SMITH Owner/President 708-681-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2014-12-18 |