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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORM PHYSICAL THERAPY, LLC

Active Organization

FORM PHYSICAL THERAPY, LLC is a Physical Therapy Assistant organization located in WESTCHESTER, Illinois. NPI 1700516820 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WESTCHESTER, IL

Registration Details

NPI Number
1700516820
Provider Type
Organization
NPI Issued
Jun 13, 2022 (4.1828596281173 yrs)
Last Updated
Jul 26, 2023

Practice Information

Address
10356 ROOSEVELT RD
WESTCHESTER, IL, 60154
Browse IL providers · Browse ZIP 60154
Phone
7084974600
Fax
7084974601
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in WESTCHESTER, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.