Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE F. POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
360 W BUTTERFIELD RD, STE. 140, ELMHURST, IL 60126-5025
(630) 833-7593
(630) 833-5869
Mailing address
2300 COIT RD, SUITE 300, PLANO, TX 75075-3768
(469) 467-8705
(267) 321-2550
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636250
BLUE CROSS BLUE SHIELD
—
01
—
7230138
AETNA
—
Enumeration date
01/12/2007
Last updated
03/26/2013
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