Most Relevant Information
Provider Data
| NPI Number: | 1003449489 |
| Provider Name: | JOHN LORENZ LOYOLA MANUBAG PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070.024932 |
Most Important Dates
| Enumeration Date: | 02/13/2020 |
| Last Updated: | 02/13/2020 |
Provider Practice Location
3900 SULLIVAN DR
SWANSEA
IL
622267397
Practice Location Phone/Fax
| Phone: | 6182348910 |
| Fax: | 6182348920 |
Provider Mailing Location
124 KENNETH DR APT C
TROY
IL
622941742
Provider Mailing Phone/Fax
| Phone: | 8594085775 |
| Fax: |