West Central Illinois Therapy & Sports Medicine Center, LLC
Physical Therapist in Pittsfield, IL. Organization (NPI-2).
NPI number1881746097
StatusActive
Last updated in NPPESJan 9, 2008
Details
- NPI
- 1881746097
- Entity type
- Organization (NPI-2)
- Legal business name
- West Central Illinois Therapy & Sports Medicine Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Jan 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Practice location
128 W Washington StPittsfield, IL 62363-1441
Phone 217-285-4512 · Fax 217-285-5740
Mailing address
1025 Maine StQuincy, IL 62301-4038
Phone 217-222-6550 · Fax 217-277-2253
Authorized official
Dan Evans
Chairman Of The Board
2172226550
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All 6 Physical Therapist providers in Pittsfield · All 165 providers in Pittsfield
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