Select Physical Therapy Of Illinois Limited Partnership
Clinic/Center, Physical Therapy in Crystal Lake, IL. Organization (NPI-2).
NPI number1104885136
StatusActive
Last updated in NPPESSep 1, 2010
Details
- NPI
- 1104885136
- Entity type
- Organization (NPI-2)
- Legal business name
- Select Physical Therapy Of Illinois Limited Partnership
- Organization subpart
- No
- Enumeration date
- Mar 20, 2006
- Last updated
- Sep 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | IL | Yes |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Practice location
820 E Terra Cotta AveSte 102
Crystal Lake, IL 60014
Phone 815-455-3262 · Fax 815-455-2729
Mailing address
4714 Gettysburg RdMechanicsburg, PA 17055-4325
Phone 717-972-1100 · Fax 717-975-9781
Authorized official
Michael E Tarvin
Vice President
7179721100
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All 12 Physical Therapy Clinic/Center providers in Crystal Lake · All 1,922 providers in Crystal Lake
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