Martha Sebolt
Physical Therapist in Peoria, IL. Individual provider (NPI-1).
NPI number1366081002
StatusActive
Last updated in NPPESDec 28, 2019
Details
- NPI
- 1366081002
- Entity type
- Individual (NPI-1)
- Name
- Ms. Martha Sebolt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2019
- Certification date
- Dec 28, 2019
- Last updated
- Dec 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070.005163 | IL | Yes |
Practice location
1230 E Forrest Hill AvePeoria, IL 61603-1530
Phone 309-231-7222
Mailing address
1230 E Forrest Hill AvePeoria, IL 61603-1530
Phone 309-407-9522
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