Organization
CARY PHYSICAL THERAPY PC
Active
Other names
Cary Physical Therapy and Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MORRIS GULBRANDSON P.T. (OWNER-PRESIDENT)
(847) 516-8095
Entity
Organization
Contact information
Practice address
2615 THREE OAKS RD, SUITE 1A, CARY, IL 60013-6127
(847) 516-8095
(847) 516-8098
Mailing address
2615 THREE OAKS RD, SUITE 1A, CARY, IL 60013-6127
(847) 516-8095
(847) 516-8098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632135
BLUE CROSS BLUE SHIELD
IL
01
—
5975070
AETNA
IL
Enumeration date
02/20/2007
Last updated
07/21/2022
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