Organization
ADVANCE PHYSICAL THERAPY INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALIXTO AGUILAR AGUDO JR. PHYSICAL THERAPIST (REHAB DIRECTOR)
(501) 504-9104
Entity
Organization
Contact information
Practice address
1132 FAWNLILY CIR, JOLIET, IL 60431-8060
(501) 504-9104
Mailing address
1132 FAWNLILY CIR, JOLIET, IL 60431-8060
(501) 504-9104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015817
IL
225100000X
Physical Therapist
070017782
IL
Other
Enumeration date
01/18/2014
Last updated
01/18/2014
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