Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1023146818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD S. BINSTEIN (EXECUTIVE VICE PRESIDENT) |
Mailing Address: | 154 S Bloomingdale Rd Suite 103 Bloomingdale |
State: | IL US |
Postal Code: | 601081498 |
Phone Number: | 6303072004 |
Fax Number: | 6303077184 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 070004543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |