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Organization
PHYSICAL THERAPY & REHAB SPECIALISTS, PC
Active
Organization
PHYSICAL THERAPY & REHAB SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A DALLAS LPT (OWNER)
(630) 792-9790
Entity
Organization
Contact information
Practice address
10 E 22ND ST, STE. #305, LOMBARD, IL 60148-4977
(630) 792-9790
(630) 792-9794
Mailing address
10 E 22ND ST, STE. #305, LOMBARD, IL 60148-4977
(630) 792-9790
(630) 792-9794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261178660001
—
IL
Enumeration date
07/02/2006
Last updated
08/22/2020
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