| |
101 S Galena Ave, Wyoming, IL 61491-1470 | |
(309) 695-4010 | |
(309) 852-2402 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 101 S Galena Ave, Wyoming, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1285740621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Po Box 3497, Sturtevant, WI 53177-0300 Ph: (877) 552-2996 | 101 S Galena Ave, Wyoming, IL 61491-1470 Ph: (309) 695-4010 |