Montvale Physical Therapy, INC

NPI #1073636189 in Springfield, Illinois

Provider Information

NPI Number: 1073636189
Entity Type: Organization
Organization Name: Montvale Physical Therapy, INC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2951 MONTVALE DRIVE, SUITE A
City: Springfield
State: Illinois
ZIP Code: 62704
Phone: (217) 698-4055

Authorized Official

Name: DEAN CHARLES ANDERSON, PT
Title: PRESIDENT
Phone: (217) 698-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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