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NPI Code Detail

MEDICARE: COVIAN PHYSICAL THERAPY AND WELLNESS

MEDICARE: COVIAN PHYSICAL THERAPY AND WELLNESS
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1255001517
Entity Type Code : Organization
Provider Name (Legal Business Name) : COVIAN PHYSICAL THERAPY AND WELLNESS
Provider Business Mailing Address
First Line : 938 W 15TH PL
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 938 W 15TH PL
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1841
Country : US
Telephone Number : 312-668-0084
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MRS. CYNTHIA COVIAN-HERNANDEZ
Credential : PT
Telephone Number : 708-288-5212
Provider Enumeration Date : 09/17/2021
Last Update Date : 09/17/2021

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Directions to “COVIAN PHYSICAL THERAPY AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.