Organization Name: | PHYSICAL SCIENCES INSTITUTE, INC. |
NPI Number: | 1053677898 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW ANDERSON (CFO) |
Mailing Address: | 780 Burr Oak Dr Westmont |
State: | IL US |
Postal Code: | 605591122 |
Phone Number: | 6308507901 |
Fax Number: | 6308507903 |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 070013411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |