Granite City Physical Therapy LLC
NPI #1649664277 in Granite City, Illinois
Provider Information
- NPI Number
- 1649664277
- Entity Type
- Organization
- Organization Name
- Granite City Physical Therapy LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Mar 20, 2015
- Last Updated
- Mar 20, 2015
Practice Location
- Address
- 400 A ST STE D
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-1891
- Phone
- (618) 452-8561
Authorized Official
- Name
- JESSE MOORE, DPT
- Title
- OWNER
- Phone
- (317) 691-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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