Organization
NEURO DRIVE PT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA WRIGHT DPT (OWNER/PHYSICAL THERAPIST)
(716) 713-5133
Entity
Organization
Contact information
Practice address
2300 W WABANSIA AVE APT 107, CHICAGO, IL 60647-5355
(716) 713-5133
Mailing address
2300 W WABANSIA AVE APT 107, CHICAGO, IL 60647-5355
(716) 713-5133
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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