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Organization

PHYSICAL THERAPY AT HOME LLC

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Organization

PHYSICAL THERAPY AT HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRATHAN SIRIVAT P.T. (PHYSICAL THERAPIST)
(847) 251-1231
Entity
Organization

Contact information

Practice address
3512 GREENWOOD AVE, WILMETTE, IL 60091
(847) 251-1231
(847) 251-1231
Mailing address
3512 GREENWOOD AVE, WILMETTE, IL 60091-1010
(847) 251-1231
(847) 251-1231

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
IL

Other

Enumeration date
03/27/2007
Last updated
08/22/2020
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