Provider Demographics
NPI:1376558700
Name:RHONDA KOTARINOS PHYSICAL THERAPY, LTD.
Entity Type:Organization
Organization Name:RHONDA KOTARINOS PHYSICAL THERAPY, LTD.
Other - Org Name:KOTARINOS PHYSICAL THERAPY, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KOTARINOS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:630-620-0232
Mailing Address - Street 1:1 TRANSAM PLAZA DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4822
Mailing Address - Country:US
Mailing Address - Phone:630-620-0232
Mailing Address - Fax:
Practice Address - Street 1:1 TRANSAM PLAZA DR
Practice Address - Street 2:SUITE 170
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4822
Practice Address - Country:US
Practice Address - Phone:630-620-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-1883174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty