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Organization

NAPERVILLE PHYSICAL THERAPY CENTER P C

Active
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Organization

NAPERVILLE PHYSICAL THERAPY CENTER P C

Active
Other names
Fyzical Therapy & Balance Centers - Naperville
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY DONOHUE RACHFORD PT (OWNER)
(630) 369-1015
Entity
Organization

Contact information

Practice address
1240 IROQUOIS AVE STE 400, NAPERVILLE, IL 60563-8540
(630) 369-1015
(630) 369-5015
Mailing address
1240 IROQUOIS AVE STE 400, NAPERVILLE, IL 60563-8540
(630) 369-1015
(630) 369-5015

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
060-006798
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070-005610
STATE LICENSE NUMBER
IL
Enumeration date
06/11/2006
Last updated
09/08/2014
About Stedi
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  • EDI platform