Chad R Osborne PT

NPI 1104010354 - Physical Therapist - 225100000X

NPI Details
NPI 1104010354
Gender Male
Enumeration Date 08/30/2007
Last Updated 08/03/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
7191 S KINGERY HWY
SUITE L6
WILLOWBROOK IL, 60527-5525, US
Phone (630) 455-6630
Fax
Business Location
790 REMINGTON BLVD
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Fax
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 19228
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According to our database, Chad R Osborne PT NPI is 1104010354, taxonomy code is 225100000X and license number is 19228, license state is located at Massachusetts. Chad R Osborne PT physically located at 7191 S Kingery Hwy, Willowbrook IL, 60527-5525. NPI Number Chad R Osborne PT has the Individual type.

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1104010354 NPI number is provided on an as is basis without warranty of any kind. 1104010354 is maintained by the National Plan & Provider Enumeration System. The contents of Chad R Osborne PT are for informational purposes only.