Occusport Services Inc.

NPI #1952350886 in Lockport, Illinois

Provider Information

NPI Number: 1952350886
Entity Type: Organization
Organization Name: Occusport Services Inc.
Primary Specialty: Physical Therapist
Enumeration Date: May 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 420 SUMMIT DR
City: Lockport
State: Illinois
ZIP Code: 60441-3241
Phone: (815) 836-3780

Authorized Official

Name: MRS. MARIA DUSSIAS, PT, MBA
Title: PRESIDENT
Phone: (815) 836-3780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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