River Valley Physical Therapy Spine and Joint Center LLC

NPI #1144401233 in Bradley, Illinois

Provider Information

NPI Number: 1144401233
Entity Type: Organization
Organization Name: River Valley Physical Therapy Spine and Joint Center LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 17, 2007
Last Updated: Nov 17, 2015

Practice Location

Address: 517 E NORTH ST
City: Bradley
State: Illinois
ZIP Code: 60915-1258
Phone: (815) 802-7503

Authorized Official

Name: MR. GERARD BREUKER, PT, MSC
Title: MEMBER
Phone: (815) 802-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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