Organization
BODY AND WELLNESS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LANDIS PT (DPT)
(312) 961-9490
Entity
Organization
Contact information
Practice address
2500 RIDGE AVE STE 309, EVANSTON, IL 60201-2477
(312) 961-9490
Mailing address
1136 W FULLERTON AVE APT 2, CHICAGO, IL 60614-8159
(312) 961-9490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013544
IL
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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