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Organization

SCOTTSDALE PHYSICAL THERAPY

Active
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Organization

SCOTTSDALE PHYSICAL THERAPY

Active
Other names
Andersen Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JILLIAN MARIE ANDERSEN P.T. (PRESIDENT)
(480) 240-8841
Entity
Organization

Contact information

Practice address
1252 WINSTON PLZ, PHYSICAL THERAPY DEPT, MELROSE PARK, IL 60160-1507
(708) 343-2500
Mailing address
33 W DELAWARE PL, UNIT 9B, CHICAGO, IL 60610-8115
(480) 240-8841

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638362
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/08/2008
Last updated
02/08/2008
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