NPI | 1952968299 |
---|---|
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 |
Enumeration Date | 2019-05-22 |
Last Update Date | 2019-05-23 |