Organization
STABILITY PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GENDRON PT, DPT (PHYSICAL THERAPIST/OWNER)
(312) 447-9794
Entity
Organization
Contact information
Practice address
5031 W BALMORAL AVE, CHICAGO, IL 60630-1507
(312) 447-9794
Mailing address
5031 W BALMORAL AVE, CHICAGO, IL 60630-1507
(312) 447-9794
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.016196
PHYSICAL THERAPY LICENSE
IL
Enumeration date
01/16/2020
Last updated
01/18/2020
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