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NPI Code Detail

MEDICARE: APPLE PHYSICAL THERAPY LLC

MEDICARE: APPLE PHYSICAL THERAPY LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1942332580
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPLE PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number : 630-759-9510
Provider Business Practice Location Address
First Line : 5605 100TH ST SW
Second Line : SUITE B
City : LAKEWOOD
State : WA
Zip : 98499-2710
Country : US
Telephone Number : 253-284-9800
Fax Number : 253-284-9801
Authorized Official
Title or Position : COO
Name : LYNN MCGIVERN
Credential :
Telephone Number : 630-296-2222
Provider Enumeration Date : 03/09/2007
Last Update Date : 12/19/2018

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Directions to “APPLE PHYSICAL THERAPY LLC ” Practice Location

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