Midwest Physical Therapy

NPI #1871779264 in Rochelle, Illinois

Provider Information

NPI Number: 1871779264
Entity Type: Organization
Organization Name: Midwest Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jan 15, 2008
Last Updated: Jan 15, 2008

Practice Location

Address: 513 4TH AVE
City: Rochelle
State: Illinois
ZIP Code: 61068-1510
Phone: (815) 561-8786

Authorized Official

Name: PETER SMITH
Title: BILLING AGENT
Phone: (815) 965-8505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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