| NPI | 1588678403 |
|---|---|
| Doing Business As | ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE OF HANNIBAL, LLC |
| Entity Type | Organization |
| Authorized Contact | GREGORY REIS Partner 217-222-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-11-14 |