| NPI | 1992922918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE DENISE BOEHME President 217-825-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009083) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |