Organization
COMMUNITY PHYSICAL THERAPY & ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HERNANDEZ PTA (PHYSICAL THERAPIST ASSISTANT)
(708) 969-7919
Entity
Organization
Contact information
Practice address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
Mailing address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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