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Organization
ULTRA PHYSICAL THERAPY LLC
Active
Organization
ULTRA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA J SMITH (OWNER)
(309) 706-8761
Entity
Organization
Contact information
Practice address
429 W MAIN ST STE A, LEXINGTON, IL 61753-1258
(309) 706-8761
Mailing address
429 W MAIN ST STE B, LEXINGTON, IL 61753-1258
(309) 706-8761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
09/10/2020
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