Therapy Providers of Tinley Park Ltd.

NPI #1609917483 in Tinley Park, Illinois

Provider Information

NPI Number: 1609917483
Entity Type: Organization
Organization Name: Therapy Providers of Tinley Park Ltd.
Primary Specialty: Physical Therapist
Enumeration Date: Feb 12, 2007
Last Updated: Apr 11, 2013

Practice Location

Address: 16650 HARLEM AVE
City: Tinley Park
State: Illinois
ZIP Code: 60477-1847
Phone: (708) 342-1000

Authorized Official

Name: MASHKOOR ALI KHAN
Title: CHIEF EXECUTIVE OFFICER
Phone: (708) 229-9828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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