Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
143 S LINCOLN AVE, STE E, AURORA, IL 60505-4290
(630) 844-4284
(630) 844-4565
Mailing address
2300 COIT RD, SUITE 300, PLANO, TX 75075-3769
(469) 467-8705
(267) 321-2550
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.007178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636250
BCBS PROVIDOR #
IL
Enumeration date
03/07/2007
Last updated
12/15/2011
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