Spring Grove Physical Therapy Ltd
NPI #1669652897 in Spring Grove, Illinois
Provider Information
- NPI Number
- 1669652897
- Entity Type
- Organization
- Organization Name
- Spring Grove Physical Therapy Ltd
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 5, 2007
- Last Updated
- Nov 5, 2007
Practice Location
- Address
- 2100 ROUTE 12
- Address 2
- SUITE101
- City
- Spring Grove
- State
- Illinois
- ZIP Code
- 60081
- Phone
- (815) 675-0675
Authorized Official
- Name
- RALPH DESTEPHANO
- Title
- PRESIDENT
- Phone
- (815) 675-0675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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