Organization
EXPERIENCE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LE DPT (PHYSICAL THERAPIST)
(847) 917-1476
Entity
Organization
Contact information
Practice address
1350 ABBOTT CT, BUFFALO GROVE, IL 60089-2378
(847) 917-1476
Mailing address
8928 MARMORA AVE, MORTON GROVE, IL 60053-2447
(847) 917-1476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
10/07/2020
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