| NPI | 1164766606 |
|---|---|
| Doing Business As | REVOLUTION PHYSICAL THERAPY WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH FRIESER President 312-878-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2018-06-06 |