Organization
DYNAPEAK FITNESS AND PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA PETRICCA PT (OWNER/PRESIDENT)
(847) 372-5735
Entity
Organization
Contact information
Practice address
116 S HI LUSI AVE, MOUNT PROSPECT, IL 60056-3025
(847) 372-5735
Mailing address
116 S HI LUSI AVE, MOUNT PROSPECT, IL 60056-3025
(847) 372-5735
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070009748
IL
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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