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Organization
INTEGRATED PHYSICAL THERAPY
Active
Organization
INTEGRATED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL MANNEY (PRESIDENT)
(630) 655-9380
Entity
Organization
Contact information
Practice address
812 E OGDEN AVE, WESTMONT, IL 60559-1246
(630) 655-9380
(630) 655-9386
Mailing address
812 E OGDEN AVE, WESTMONT, IL 60559-1246
(630) 655-9380
(630) 655-9386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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