Doc's Pt LLC

NPI #1972850949 in Wilmette, Illinois

Provider Information

NPI Number: 1972850949
Entity Type: Organization
Organization Name: Doc's Pt LLC
Primary Specialty: Point of Service
Enumeration Date: Aug 9, 2012
Last Updated: Aug 9, 2012

Practice Location

Address: 1211 WASHINGTON AVE
City: Wilmette
State: Illinois
ZIP Code: 60091-2520
Phone: (847) 542-4868

Authorized Official

Name: DR. RICHARD BRYANT COLOSI, DPT, FAFS, FMR
Title: PRESIDENT
Phone: (847) 542-4868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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