Organization
TOTAL LIFE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARTIN PT (OWNER/MANAGER)
(812) 896-2226
Entity
Organization
Contact information
Practice address
2255 ERICKSON DR, NAPERVILLE, IL 60563-4164
(630) 300-1272
(630) 300-1273
Mailing address
PO BOX 2208, BOLINGBROOK, IL 60440-0136
(812) 896-2226
(630) 300-1273
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070-006253
IL
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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