Functional Physical Therapy, INC
Physical Therapist in Bloomingdale, IL. Organization (NPI-2).
NPI number1790738409
StatusActive
Last updated in NPPESJul 13, 2011
Details
- NPI
- 1790738409
- Entity type
- Organization (NPI-2)
- Legal business name
- Functional Physical Therapy, INC
- Organization subpart
- No
- Enumeration date
- May 17, 2006
- Last updated
- Jul 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070-011136 | IL | Yes |
Practice location
369 W Army Trail RdUnit 14
Bloomingdale, IL 60108-2358
Phone 630-893-5534 · Fax 630-893-5527
Mailing address
152 S Bloomingdale RdUnit 101
Bloomingdale, IL 60108-1481
Phone 630-893-5534 · Fax 630-893-5527
Authorized official
Tim Francis Fedorski
President/Owner
6308935534
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All 77 Physical Therapist providers in Bloomingdale · All 962 providers in Bloomingdale
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