Organization
INDUSTRIAL PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WITOLD MIERZWA (PRESIDENT)
(708) 371-6441
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 371-6441
Mailing address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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