Organization
COMUNITY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TRIPICCHIO PT, MS, DSC (PRESIDENT)
(630) 766-0505
Entity
Organization
Contact information
Practice address
721 W LAKE ST STE 110, ADDISON, IL 60101-2091
(630) 543-7450
(630) 543-7475
Mailing address
721 W LAKE ST STE 110, ADDISON, IL 60101-2091
(630) 543-7450
(630) 543-7475
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.010142
IL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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