Pediatric Physical Therapy of Central Illinois Ltd
NPI #1104959998 in Monticello, Illinois
Provider Information
- NPI Number
- 1104959998
- Entity Type
- Organization
- Organization Name
- Pediatric Physical Therapy of Central Illinois Ltd
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 123 W WILLIAM STREET
- City
- Monticello
- State
- Illinois
- ZIP Code
- 61856
- Phone
- (217) 840-3915
Authorized Official
- Name
- MS. SUSAN H GIBSON, PT
- Title
- PHYSICAL THERAPIST OWNER
- Phone
- (217) 840-3915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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