Moose Physical Therapy, Pllc

NPI #1053927640 in Peoria, Illinois

Provider Information

NPI Number: 1053927640
Entity Type: Organization
Organization Name: Moose Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 18, 2020
Last Updated: Oct 31, 2021

Practice Location

Address: 2000 W PIONEER PKWY STE 22
City: Peoria
State: Illinois
ZIP Code: 61615-5805
Phone: (309) 670-0853

Authorized Official

Name: JEREMY CALAME, PT, DPT
Title: MANAGING MEMBER
Phone: (309) 670-0853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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