Ortho-Sport, Inc.
NPI #1942379110 in Forest Park, Illinois
Provider Information
- NPI Number
- 1942379110
- Entity Type
- Organization
- Organization Name
- Ortho-Sport, Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 800 DES PLAINES AVE
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2035
- Phone
- (708) 366-2442
Authorized Official
- Name
- MICHAEL EDWARD KEENUM, PT
- Title
- OWNER PRESIDENT
- Phone
- (708) 366-2442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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