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Organization
KEWANEE PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization
KEWANEE PHYSICAL THERAPY AND REHAB SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON A DEBORD PT, MS, ATC, SCS (OWNER)
(309) 852-2200
Entity
Organization
Contact information
Practice address
110 E 10TH ST, KEWANEE, IL 61443-1330
(309) 852-2200
(309) 852-2402
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-3497
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009875
IL
Other
Enumeration date
08/21/2006
Last updated
11/07/2024
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