Organization
INDEPENDENT THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY M COLE (PRESIDENT)
(708) 409-8115
Entity
Organization
Contact information
Practice address
10407 WATERFORD DR, WESTCHESTER, IL 60154-3538
(708) 409-8115
Mailing address
10407 WATERFORD DR, WESTCHESTER, IL 60154-3538
(708) 409-8115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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