Individual
TYLER GROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6268
(815) 444-2930
Mailing address
200 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6268
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.026696
IL
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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