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NPI Code Detail

MEDICARE: PROFESSIONAL THERAPEUTICS LTD

MEDICARE: PROFESSIONAL THERAPEUTICS LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1649602640
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL THERAPEUTICS LTD
Provider Business Mailing Address
First Line : 14711 S RAVINIA AVE
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3100
Country : US
Telephone Number : 708-226-9200
Fax Number :
Provider Business Practice Location Address
First Line : 14711 S RAVINIA AVE
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3100
Country : US
Telephone Number : 708-226-9200
Fax Number :
Authorized Official
Title or Position : OTR/OWNER
Name : MRS. SARAH GEIGER
Credential : OTR
Telephone Number : 708-226-9200
Provider Enumeration Date : 08/01/2013
Last Update Date : 08/01/2013

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Directions to “PROFESSIONAL THERAPEUTICS LTD ” Practice Location

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