# PENTAFIL PHYSICAL THERAPY SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346368347
- **Authorized official:** MISS OLYMPHIA ROLDAN TESORO P.T. (PRESIDENT)
- **Authorized official phone:** (630) 527-6370

## Contact information

- **Practice address:** 790 ROYAL SAINT GEORGE DR, SUITE 105, NAPERVILLE, IL 60563-8955
- **Practice address phone:** (630) 527-6370
- **Practice address fax:** (630) 527-6374
- **Mailing address:** 790 ROYAL SAINT GEORGE DR, SUITE 105, NAPERVILLE, IL 60563-8955
- **Mailing address phone:** (630) 527-6370
- **Mailing address fax:** (630) 527-6374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 01/18/2008