Organization
DODGE THERAPY LLC
Active
Other names
Fyzical Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DODGE (OWNER)
(847) 848-4011
Entity
Organization
Contact information
Practice address
16109 S FARRELL RD, LOCKPORT, IL 60441-8200
(847) 848-4011
Mailing address
16109 S FARRELL RD, LOCKPORT, IL 60441-8200
(847) 848-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
11/19/2021
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