Organization
OUTPERFORMING PHYSICAL THERAPY & PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR REID PT, DPT (OWNER)
(815) 409-0623
Entity
Organization
Contact information
Practice address
748 E PARK AVE, LIBERTYVILLE, IL 60048-2907
(815) 409-0623
Mailing address
19071 W LAKE VIEW AVE, MUNDELEIN, IL 60060-3518
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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