Goodlife Physical Therapy

NPI 1053557264 - Physical Therapist - 225100000X

NPI Details
NPI 1053557264
Enumeration Date 12/18/2008
Last Updated 04/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MIRAB MICKEY MIRAB
Position PHYSICAL THERAPIST
Phone (708) 308-7919
Fax
Practice Location
7700 GRAPHIC DR
TINLEY PARK IL, 60477-6228, US
Phone (708) 308-7919
Fax
Business Location
7700 GRAPHIC DR
TINLEY PARK IL, 60477-6228, US
Phone (708) 308-7919
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070-013727
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According to our database, Goodlife Physical Therapy NPI is 1053557264, taxonomy code is 225100000X and license number is 070-013727, license state is located at Illinois. Goodlife Physical Therapy physically located at 7700 Graphic Dr, Tinley Park IL, 60477-6228. NPI Number 1033115704 has the healthcare provider type.

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1053557264 NPI number is provided on an as is basis without warranty of any kind. 1053557264 is maintained by the National Plan & Provider Enumeration System. The contents of Goodlife Physical Therapy are for informational purposes only.