| NPI | 1992078471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHORILAL L THOPE CEO 217-343-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009470) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006826) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |