Organization
MIDWEST MANUAL PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F MOLLSEN PT (OWNER)
(847) 376-8289
Entity
Organization
Contact information
Practice address
1355 E GOLF RD STE 100, DES PLAINES, IL 60016-1544
(847) 376-8289
(224) 938-9654
Mailing address
1355 E GOLF RD STE 100, DES PLAINES, IL 60016-1544
(847) 376-8289
(224) 938-9654
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/03/2020
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