# DIRECT ACCESS THERAPY, INC

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

## Provider details

- **NPI number:** 1902072523
- **Authorized official:** MR. SIVA KUMAR MENON P.T. (PRESIDENT)
- **Authorized official phone:** (708) 383-8705

## Contact information

- **Practice address:** 101 N EUCLID AVE, UNIT \#29, OAK PARK, IL 60301-1427
- **Practice address phone:** (708) 383-8705
- **Mailing address:** 101 N EUCLID AVE, UNIT \#29, OAK PARK, IL 60301-1427
- **Mailing address phone:** (708) 383-8705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070-008586 | IL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 070-008586 | IL | — |

## Other

- **Enumeration date:** 05/03/2008
- **Last updated:** 05/03/2008