Organization
LTZ PHYSICAL THERAPY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOSIMA VICTUELLES RN (CLINICAL DIRECTOR)
(630) 890-7530
Entity
Organization
Contact information
Practice address
4117 W SHAMROCK LN, MCHENRY, IL 60050-8289
(630) 890-7530
Mailing address
4117 W SHAMROCK LN, MCHENRY, IL 60050-8289
(630) 890-7530
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
261QP2000X
IL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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