# COUNTY WEST PHYSICIAL THERAPY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285823260
- **Authorized official:** MRS. DANA M MASCHING PT (OWNER)
- **Authorized official phone:** (815) 426-2348

## Contact information

- **Practice address:** 100 S MAIN ST, HERSCHER, IL 60941-0572
- **Practice address phone:** (815) 426-2348
- **Practice address fax:** (815) 426-2631
- **Mailing address:** PO BOX 572, HERSCHER, IL 60941-0572
- **Mailing address phone:** (815) 426-2348
- **Mailing address fax:** (815) 426-2631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 11/07/2014