| NPI | 1083489611 |
|---|---|
| Doing Business As | SUPREME PT CO. |
| Entity Type | Organization |
| Authorized Contact | ALAHELDEAN ABDELHADI President 708-954-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-02-05 |