Core Fitness and Pt

NPI #1629326947 in La Grange Highlands, Illinois

Provider Information

NPI Number: 1629326947
Entity Type: Organization
Organization Name: Core Fitness and Pt
Primary Specialty: Physical Therapist
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 6475 JOLIET RD
Address 2: SUITE C
City: La Grange Highlands
State: Illinois
ZIP Code: 60525-4647
Phone: (708) 469-7441

Authorized Official

Name: DIANE FIDLER
Title: OWNER
Phone: (708) 469-7441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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