Advanced Rehab Sports Medicine

NPI #1235121393 in Monmouth, Illinois

Provider Information

NPI Number: 1235121393
Entity Type: Organization
Organization Name: Advanced Rehab Sports Medicine
Primary Specialty: Physical Therapist
Enumeration Date: Aug 16, 2005
Last Updated: Nov 3, 2022

Practice Location

Address: 1201 E BROADWAY
Address 2: SUITE C
City: Monmouth
State: Illinois
ZIP Code: 61462-1994
Phone: (309) 734-1103

Authorized Official

Name: MARK STEVEN OERTWIG
Title: DIRECTOR OF FINANCE
Phone: (309) 661-8823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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