| NPI | 1104247501 |
|---|---|
| Doing Business As | ADVANCED REHAB SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN OERTWIG Director Of Finance 309-661-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2022-11-03 |