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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
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