Belvidere Rehab & Sports Medicine

NPI #1619922515 in Belvidere, Illinois

Provider Information

NPI Number
1619922515
Entity Type
Organization
Organization Name
Belvidere Rehab & Sports Medicine
Primary Specialty
Physical Therapist
Enumeration Date
May 23, 2006
Last Updated
Jan 8, 2013

Practice Location

Address
1255 LOGAN AVE
ZIP Code
61008-4001
Phone
(815) 547-4733

Authorized Official

Name
DAVID A BLACK, PT, MS, OCS
Title
OWNER/EXECUTIVE OFFICER
Phone
(815) 227-1700

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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