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Organization

SPORTHO PHYSICAL AND AQUATIC THERAPY, LLC

Active
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Organization

SPORTHO PHYSICAL AND AQUATIC THERAPY, LLC

Active
Other names
Fyzical Therapy and Balance Centers-Chicago
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM A CAPRARO III (BUSINESS MANAGER)
(773) 586-2768
Entity
Organization

Contact information

Practice address
6921 W ARCHER AVE, CHICAGO, IL 60638-2319
(773) 586-2768
(773) 586-2780
Mailing address
6921 W ARCHER AVE, CHICAGO, IL 60638-2319
(773) 586-2768
(773) 586-2780

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
11/16/2005
Last updated
04/07/2020
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