Neal C Depersia JR. PT

NPI 1346310927 - Physical Therapist - 225100000X

NPI Details
NPI 1346310927
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2300 N CHILDRENS PLZ
BOX 142
CHICAGO IL, 60614-3363, US
Phone (773) 327-2795
Fax
Business Location
2300 N CHILDRENS PLZ
BOX 142
CHICAGO IL, 60614-3363, US
Phone (773) 327-2795
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070.013835
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According to our database, Neal C Depersia JR. PT NPI is 1346310927, taxonomy code is 225100000X and license number is 070.013835, license state is located at Illinois. Neal C Depersia JR. PT physically located at 2300 N Childrens Plz, Chicago IL, 60614-3363. NPI Number Neal C Depersia JR. PT has the Individual type.

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1346310927 NPI number is provided on an as is basis without warranty of any kind. 1346310927 is maintained by the National Plan & Provider Enumeration System. The contents of Neal C Depersia JR. PT are for informational purposes only.