Organization
ALLIANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWATI R AMIN LPT (PRESIDENT)
(630) 922-0050
Entity
Organization
Contact information
Practice address
454 W BOUGHTON RD, BOLINGBROOK, IL 60440-1385
(630) 759-4411
(630) 759-6063
Mailing address
1879 BAY SCOTT CIR, STE. #105, NAPERVILLE, IL 60540-1108
(630) 922-0050
(630) 922-0574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-010305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148786904001
—
IL
Enumeration date
10/27/2011
Last updated
10/27/2011
Update your record
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