Dodge Therapy LLC

NPI #1083297196 in Lockport, Illinois

Provider Information

NPI Number: 1083297196
Entity Type: Organization
Organization Name: Dodge Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 5, 2021
Last Updated: Nov 19, 2021

Practice Location

Address: 16109 S FARRELL RD
City: Lockport
State: Illinois
ZIP Code: 60441-8200
Phone: (847) 848-4011

Authorized Official

Name: KYLE DODGE
Title: OWNER
Phone: (847) 848-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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