Individual
MR. PATRICK STEPHEN LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
706 E BELL RD, STE 212, PHOENIX, AZ 85022-6640
(602) 795-8441
(602) 795-8447
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7198
AZ
225100000X
Physical Therapist
PT871109
DC
Other
Enumeration date
11/09/2006
Last updated
02/27/2017
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