| |
109 N. Main Street, Saint Joseph, IL 61873 | |
(217) 352-3330 | |
(217) 352-4616 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 109 N. Main Street, Saint Joseph, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497175442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
109 N. Main Street, Saint Joseph, IL 61873 Ph: (217) 352-3330 | 109 N. Main Street, Saint Joseph, IL 61873 Ph: (217) 352-3330 |