NPI | 1992821110 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA AREVALO Owner 708-602-1581 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070012475) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |