Across All Ages Physical Therapy LLC
Physical Therapist in Breese, IL. Organization (NPI-2).
NPI number1003521998
StatusActive
Last updated in NPPESMay 26, 2023
Details
- NPI
- 1003521998
- Entity type
- Organization (NPI-2)
- Legal business name
- Across All Ages Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- May 26, 2023
- Last updated
- May 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Practice location
380 S Germantown RdBreese, IL 62230-2088
Phone 618-526-9311 · Fax 877-420-7862
Mailing address
380 S Germantown RdBreese, IL 62230-2088
Phone 618-526-9322
Authorized official
Margaret Timmermann
Owner
6185269311
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