Buffalo Grove Physical Therapy and Sports Rehabilitation PC

NPI #1235251026 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1235251026
Entity Type: Organization
Organization Name: Buffalo Grove Physical Therapy and Sports Rehabilitation PC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 4, 2007
Last Updated: Jul 15, 2008

Practice Location

Address: 125 EAST LAKE COOK RD
Address 2: SUITE 209
City: Buffalo Grove
State: Illinois
ZIP Code: 60089
Phone: (847) 520-3382

Authorized Official

Name: MR. GOPAL TERALANDUR RAGHUNATH, MSPT DPT CSPT
Title: OWNER
Phone: (847) 564-1349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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