Organization
AWAKEN PHYSICAL THERAPY AND MYOFASCIAL RELEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMBERLIN DEWITTE PT (OWNER)
(815) 375-0132
Entity
Organization
Contact information
Practice address
43W481 KENMAR CT, ELBURN, IL 60119-9106
(815) 375-0132
Mailing address
43W481 KENMAR CT, ELBURN, IL 60119-9106
(815) 375-0132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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