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Organization
MOBILE THERAPY CENTER OF AMERICA, LLC
Active
Organization
MOBILE THERAPY CENTER OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NEWMAN (OWNER)
(224) 354-1290
Entity
Organization
Contact information
Practice address
854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048-5350
(847) 816-7200
(847) 816-7210
Mailing address
854 TECHNOLOGY WAY, LIBERTYVILLE, IL 60048-5350
(847) 816-7200
(847) 816-7210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/22/2006
Last updated
12/27/2023
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