Big Easy Pt LLC
NPI #1700623188 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1700623188
- Entity Type
- Organization
- Organization Name
- Big Easy Pt LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 11, 2024
- Last Updated
- Jul 11, 2024
Practice Location
- Address
- 431 JANES AVE UNIT 108
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2836
- Phone
- (504) 905-7968
Authorized Official
- Name
- MICHAEL WINGERTER
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (504) 905-7968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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