Supplemental
NPI #1316294507 in Braidwood, Illinois
Provider Information
- NPI Number
- 1316294507
- Entity Type
- Organization
- Organization Name
- Supplemental
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 7, 2012
- Last Updated
- Aug 7, 2012
Practice Location
Authorized Official
- Name
- MRS. DAWN T AVITT, ASSOCIATES
- Title
- PTA
- Phone
- (815) 458-2492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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