Awaken Physical Therapy and Myofascial Release

NPI #1104494194 in Elburn, Illinois

Provider Information

NPI Number: 1104494194
Entity Type: Organization
Organization Name: Awaken Physical Therapy and Myofascial Release
Primary Specialty: Physical Therapist
Enumeration Date: Jun 15, 2021
Last Updated: Jun 15, 2021

Practice Location

Address: 43W481 KENMAR CT
City: Elburn
State: Illinois
ZIP Code: 60119-9106
Phone: (815) 375-0132

Authorized Official

Name: CHAMBERLIN DEWITTE, PT
Title: OWNER
Phone: (815) 375-0132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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