Organization Name: | HEALING HANDS PHYSICAL THERAPY, INC |
NPI Number: | 1457755167 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSANE MUKDAD (DOCTOR OF PHYSICAL THERAPY/OWNER) |
Mailing Address: | 8695 Archer Ave Suite 21 Willow Springs |
State: | IL US |
Postal Code: | 604801260 |
Phone Number: | 7089150950 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2014 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 070017865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |