Age Rehab & Medical Fitness

NPI #1184188443 in Macomb, Illinois

Provider Information

NPI Number
1184188443
Entity Type
Organization
Organization Name
Age Rehab & Medical Fitness
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 30, 2019
Last Updated
Feb 2, 2022

Practice Location

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

Authorized Official

Name
DR. VICTOR ERUDE LIDAYWA, DPT
Title
OWNER / PHYSICAL THERAPIST
Phone
(309) 833-1004

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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