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Organization
RIVER VALLEY PHYSICAL THERAPY SPINE AND JOINT CENTER LLC
Active
Organization
RIVER VALLEY PHYSICAL THERAPY SPINE AND JOINT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD BREUKER PT, MSC (MEMBER)
(815) 802-7503
Entity
Organization
Contact information
Practice address
517 E NORTH ST, BRADLEY, IL 60915-1258
(815) 802-7503
(815) 802-7514
Mailing address
517 E NORTH ST, BRADLEY, IL 60915-1258
(815) 802-7503
(815) 802-7514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/17/2007
Last updated
11/17/2015
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