Organization Name: | GIVEN SPORTS & PHYSICAL THERAPY, P.C. |
NPI Number: | 1053506451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY EARL GIVEN (PRESIDENT) |
Mailing Address: | 540 E Terra Cotta Ave Suite G Crystal Lake |
State: | IL US |
Postal Code: | 600143652 |
Phone Number: | 8154778004 |
Fax Number: | 8154778005 |
NPI Enumeration Date: | 09/09/2007 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |