Direct Access Therapy, INC

NPI #1902072523 in Oak Park, Illinois

Provider Information

NPI Number: 1902072523
Entity Type: Organization
Organization Name: Direct Access Therapy, INC
Primary Specialty: Physical Therapist
Enumeration Date: May 3, 2008
Last Updated: May 3, 2008

Practice Location

Address: 101 N EUCLID AVE
Address 2: UNIT #29
City: Oak Park
State: Illinois
ZIP Code: 60301-1427
Phone: (708) 383-8705

Authorized Official

Name: MR. SIVA KUMAR MENON, P.T.
Title: PRESIDENT
Phone: (708) 383-8705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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