Cairo Rehab & Fit Fore Golf Inc | |
120 N Front St, Mounds, IL 62964-1022 | |
(304) 363-7000 | |
(304) 366-7413 |
Full Name | Cairo Rehab & Fit Fore Golf Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 120 N Front St, Mounds, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144418138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Gordon Dean Holden |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316038938 PECOS PAC ID: 4082698550 Enrollment ID: I20040614001557 |
Mailing Address | Practice Location Address |
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Cairo Rehab & Fit Fore Golf Inc 120 N Front St, Mounds, IL 62964-1022 Ph: (304) 363-7000 | Cairo Rehab & Fit Fore Golf Inc 120 N Front St, Mounds, IL 62964-1022 Ph: (304) 363-7000 |
Gordon D Holden, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 N Front St, Cairo Rehab & Fit For Golf Inc, Mounds, IL 62964 Phone: 304-363-7000 Fax: 304-366-7413 | |
Mrs. Elly Nelson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 429 S Blanche St, Mounds, IL 62964 Phone: 618-745-9419 Fax: 618-745-9421 |