| NPI | 1568766194 |
|---|---|
| Doing Business As | AXON PHYSICAL THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | YAKUB ISAP PATEL President/Owner 708-612-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070-003982) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |