Organization
DPT SPORT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE ANN KLODY PT, DPT, MPT, CSCS (PRESIDENT/PHYSICAL THERAPIST)
(312) 286-7147
Entity
Organization
Contact information
Practice address
6101 S COUNTY LINE RD, SUITE # 57, BURR RIDGE, IL 60527-8132
(312) 286-7147
Mailing address
6101 S COUNTY LINE RD, SUITE # 57, BURR RIDGE, IL 60527-8132
(312) 286-7147
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070013512
IL
Other
Enumeration date
08/16/2013
Last updated
06/01/2015
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