Vidit Atul Phanse
NPI #1043731540 in White Hall, Illinois
Provider Information
- NPI Number
- 1043731540
- Entity Type
- Individual
- Name
- Vidit Atul Phanse
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 5, 2017
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 620 W BRIDGEPORT ST
- City
- White Hall
- State
- Illinois
- ZIP Code
- 62092-1001
- Phone
- (217) 374-6714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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