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Skillz Physical Therapy LLC

Physical Therapist in Evanston, IL. Organization (NPI-2).

NPI number1801426366
StatusActive
Last updated in NPPESJul 7, 2022

Details

NPI
1801426366
Entity type
Organization (NPI-2)
Legal business name
Skillz Physical Therapy LLC
Organization subpart
No
Enumeration date
Jan 23, 2020
Certification date
Jul 7, 2022
Last updated
Jul 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

839 Dodge Ave
Evanston, IL 60202-1552

Phone 847-859-6240

Mailing address

839 Dodge Ave
Evanston, IL 60202-1552

Authorized official

Aime Maranan
Physical Therapist
4072572572

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