Legacy
NPI #1053621607 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1053621607
- Entity Type
- Organization
- Organization Name
- Legacy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Oct 18, 2010
Practice Location
- Address
- 120 SOUTH HI LUSI AVE
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056
- Phone
- (847) 670-7214
Authorized Official
- Name
- MR. PARVIZ AYREMPOUR, PTA
- Title
- PHYSICAL THERAPIST ASSISTANT
- Phone
- (847) 670-7214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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