Advance Sports Therapy
Mechanotherapist in Naperville, IL. Organization (NPI-2).
NPI number1831640424
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1831640424
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Sports Therapy
- Organization subpart
- No
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 227012530 | IL | Yes |
Practice location
800 W 5th AveSuite 100g
Naperville, IL 60563-8965
Phone 630-708-8778
Mailing address
800 W 5th AveSuite 100g
Naperville, IL 60563-8965
Phone 630-708-8778
Authorized official
Azlaan Arif
Owner
6307088778
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