# HOME THERAPY SPECIALISTS, P.D.

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

## Provider details

- **NPI number:** 1891363917
- **Authorized official:** MR. DAVID JOHN KOOYENGA PT (PRESIDENT)
- **Authorized official phone:** (708) 372-2784

## Contact information

- **Practice address:** 16544 PARLIAMENT AVENUE, TINLEY PARK, IL 60477-2464
- **Practice address phone:** (708) 372-2784
- **Practice address fax:** (708) 235-0145
- **Mailing address:** 16544 PARLIAMENT AVENUE, TINLEY PARK, IL 60477-2464
- **Mailing address phone:** (708) 372-2784
- **Mailing address fax:** (708) 235-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251E1200X | Ergonomics Physical Therapist | — | NULL | — |
| 2251E1200X | Ergonomics Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/15/2021
- **Last updated:** 06/15/2021
