Victor Erude Lidaywa, DPT

NPI #1083178198 in Macomb, Illinois

Provider Information

NPI Number
1083178198
Entity Type
Individual
Name
Victor Erude Lidaywa, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Physical Therapy
Credential
DPT
Enumeration Date
Jan 23, 2019
Last Updated
Feb 2, 2019

Practice Location

Address
1701 W JACKSON ST
Address 2
STE C
City
Macomb
ZIP Code
61455-3175
Phone
(309) 331-3590

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Clinic/Center - Physical TherapyPhysical Therapy

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