NPI | 1154666154 |
---|---|
Doing Business As | EDGE PHYISCAL THERAPY & REHABILITATION |
Entity Type | Organization |
Authorized Contact | SHILPA PATEL Member 630-730-5693 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 0010762) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 00010762) |
261QP2000X Clinic/Center, Physical Therapy (Licence: WA 00009462) | |
225700000X Massage Therapist | |
Enumeration Date | 2012-12-01 |
Last Update Date | 2013-02-04 |