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Organization
DODGE THERAPY LLC
Active
Organization
DODGE THERAPY LLC
Active
Other names
Fyzical Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DODGE (OWNER)
(847) 848-4011
Entity
Organization
Contact information
Practice address
16109 S FARRELL RD, LOCKPORT, IL 60441-8200
(847) 848-4011
Mailing address
16109 S FARRELL RD, LOCKPORT, IL 60441-8200
(847) 848-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
11/19/2021
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