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Organization
ADVANCED PHYSICAL THERAPY SERVICES LTD
Active
Organization
ADVANCED PHYSICAL THERAPY SERVICES LTD
Active
Other names
Advanced Rehab Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN OERTWIG (DIRECTOR OF FINANCE)
(309) 661-8823
Entity
Organization
Contact information
Practice address
256 S SOANGETAHA RD STE 108, GALESBURG, IL 61401-5596
(309) 343-3434
(309) 343-3456
Mailing address
PO BOX 47, BLOOMINGTON, IL 61702-0047
(309) 661-8823
(309) 661-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/02/2014
Last updated
11/03/2022
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