Spinae Vitae Physical Therapy PC

NPI #1205869831 in Wilmette, Illinois

Provider Information

NPI Number: 1205869831
Entity Type: Organization
Organization Name: Spinae Vitae Physical Therapy PC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 8, 2006
Last Updated: Sep 25, 2009

Practice Location

Address: 1225 GREEN BAY RD
City: Wilmette
State: Illinois
ZIP Code: 60091-1643
Phone: (847) 251-9790

Authorized Official

Name: MRS. ELZBIETA WIERZCHON-MROZ, P.T.
Title: OWNER/PRESIDENT
Phone: (847) 251-9790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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