P.u.r.e. Golf

NPI #1710119821 in Montgomery, Illinois

Provider Information

NPI Number: 1710119821
Entity Type: Organization
Organization Name: P.u.r.e. Golf
Primary Specialty: Physical Therapist
Enumeration Date: Aug 23, 2009
Last Updated: Aug 23, 2009

Practice Location

Address: 1727 DEER RUN DR
City: Montgomery
State: Illinois
ZIP Code: 60538-3000
Phone: (630) 362-5172

Authorized Official

Name: COREY PUYEAR, PT
Title: PRESIDENT
Phone: (630) 362-5172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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