Organization
ORTHOSPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN COLIN ALBERT PT, DPT (PHYSICAL THERAPIST)
(630) 961-3127
Entity
Organization
Contact information
Practice address
313 N WEBER RD, BOLINGBROOK, IL 60490-1569
(630) 771-0582
Mailing address
1105 HONEST PLEASURE DR, NAPERVILLE, IL 60540-7622
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
70015125
IL
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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