| Organization Name: | LTZ PHYSICAL THERAPY CENTER |
| NPI Number: | 1922378447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZOSIMA ABIVA VICTUELLES (CHAIRMAN OF THE BOARD) |
| Mailing Address: | 4117 W Shamrock Ln Mchenry |
| State: | IL US |
| Postal Code: | 600508289 |
| Phone Number: | 8156014613 |
| Fax Number: | 8154849226 |
| NPI Enumeration Date: | 01/01/2012 |
| NPI Last Update Date: | 02/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |