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 |