Organization · NPI-2

Back To Health Pt, PLLC

Physical Therapist · Palos Heights, IL

NPI number1720579170
StatusActive
Last updated in NPPESMar 29, 2022

Details

NPI
1720579170
Entity type
Organization (NPI-2)
Legal business name
Back To Health Pt, PLLC
Organization subpart
No
Enumeration date
May 22, 2018
Certification date
Mar 29, 2022
Last updated
Mar 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070-011463ILYes

Practice location

11824 Southwest Hwy Ste 200
Palos Heights, IL 60463-2662

Phone 708-923-1919 · Fax 708-923-9922

Mailing address

15408 Sunset Ridge Dr
Orland Park, IL 60462-4922

Phone 773-491-3507

Authorized official

Renee Spinella
Pt/Manager
7734913507

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