Provider Demographics
NPI:1497518419
Name:ONE LIFE THERAPY LLC
Entity Type:Organization
Organization Name:ONE LIFE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:GABHAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:630-715-6102
Mailing Address - Street 1:1112 SANDHURST LN
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-4348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1112 SANDHURST LN
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-4348
Practice Address - Country:US
Practice Address - Phone:630-715-6102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy