Organization
TCM PHYSICAL THERAPY, INC.
Active
Organization
TCM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MYJAK (PRESIDENT)
(815) 245-3845
Entity
Organization
Contact information
Practice address
4421 S NANCY DR, CRYSTAL LAKE, IL 60014-6464
(815) 245-3845
Mailing address
4421 S NANCY DR, CRYSTAL LAKE, IL 60014-6464
(815) 245-3845
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.007032
IL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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