Athletic Edge Physical Therapy Llc

NPI 1124326038 - Physical Therapist - 225100000X

NPI Details
NPI 1124326038
Enumeration Date 03/02/2011
Last Updated 06/06/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DANIEL L DANIEL
Position CEO
Phone (312) 617-5949
Fax (312) 447-0036
Practice Location
1319 S MICHIGAN AVE
CHICAGO IL, 60605-2601, US
Phone (312) 617-5949
Fax (312) 447-0036
Business Location
1319 S MICHIGAN AVE
CHICAGO IL, 60605-2601, US
Phone (312) 617-5949
Fax (312) 447-0036
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070015130
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According to our database, Athletic Edge Physical Therapy Llc NPI is 1124326038, taxonomy code is 225100000X and license number is 070015130, license state is located at Illinois. Athletic Edge Physical Therapy Llc physically located at 1319 S Michigan Ave, Chicago IL, 60605-2601. NPI Number 1033115704 has the healthcare provider type.

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1124326038 NPI number is provided on an as is basis without warranty of any kind. 1124326038 is maintained by the National Plan & Provider Enumeration System. The contents of Athletic Edge Physical Therapy Llc are for informational purposes only.