Organization
AMPT ADVANCED MANUAL PHYSICAL THERAPY, LLC
Active
Parent organization
AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMPT ADVANCED MANUAL PHYSICAL THERAPY SPECIALTY PT CLINICS, INC.
Authorized official
MR. VINCENT J KABBAZ PT (OWNER/PRESIDENT)
(608) 441-0032
Entity
Organization
Contact information
Practice address
1000 W WASHINGTON BLVD, CHICAGO, IL 60607-2137
(312) 243-0031
(312) 243-0032
Mailing address
1000 W WASHINGTON BLVD, CHICAGO, IL 60607-2137
(312) 243-0031
(312) 243-0032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-013614
IL
2251X0800X
Orthopedic Physical Therapist
070-013614
IL
2251X0800X
Orthopedic Physical Therapist
070-014463
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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