United Therapy Providers, INC

NPI #1518276120 in Lombard, Illinois

Provider Information

NPI Number: 1518276120
Entity Type: Organization
Organization Name: United Therapy Providers, INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 30, 2010
Last Updated: Sep 30, 2010

Practice Location

Address: 330 E ROOSEVELT RD
Address 2: SUITE 120
City: Lombard
State: Illinois
ZIP Code: 60148-4640
Phone: (708) 420-1604

Authorized Official

Name: MS. PAMELA JEAN FERNANDES, RN
Title: ADMINISTRATOR
Phone: (708) 420-1604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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