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Organization
PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization
PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BRIAND (CEO)
(888) 201-1040
Entity
Organization
Contact information
Practice address
119 E OGDEN AVE, SUITE 110, HINSDALE, IL 60521-3590
(630) 325-2664
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(888) 201-1040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063666220
—
WI
01
—
DP0227
RAILROAD MEDICARE
IL
01
—
DR9009
RAILRAOD MEDICARE
—
Enumeration date
11/13/2008
Last updated
12/01/2011
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