West Central Illinois Therapy & Sports Medicine Center, LLC

NPI #1881746097 in Pittsfield, Illinois

Provider Information

NPI Number
1881746097
Entity Type
Organization
Organization Name
West Central Illinois Therapy & Sports Medicine Center, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jan 17, 2007
Last Updated
Jan 9, 2008

Practice Location

Address
128 W WASHINGTON ST
ZIP Code
62363-1441
Phone
(217) 285-4512

Authorized Official

Name
DR. DAN EVANS, MD
Title
CHAIRMAN OF THE BOARD
Phone
(217) 222-6550

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist

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