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Organization
PHYSIO PR, PLLC
Active
Organization
PHYSIO PR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELUSEGUN OLOPO PT, DPT (OWNER)
(773) 556-8569
Entity
Organization
Contact information
Practice address
900 W MARGATE TER APT 1C, CHICAGO, IL 60640-3824
(773) 556-8569
Mailing address
900 W MARGATE TER APT 1C, CHICAGO, IL 60640-3824
(773) 556-8569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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