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Organization
PEDIATRIC & ORTHOPEDIC REHABILITATION ASSOCIATES, P.C.
Active
Organization
PEDIATRIC & ORTHOPEDIC REHABILITATION ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY DOBBECK P.T. (PRESIDENT)
(815) 356-9510
Entity
Organization
Contact information
Practice address
3114 OAK RIDGE RD, CRYSTAL LAKE, IL 60012-1066
(815) 356-9510
Mailing address
3114 OAK RIDGE RD, CRYSTAL LAKE, IL 60012-1066
(815) 356-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361585236001
—
IL
Enumeration date
03/16/2007
Last updated
08/22/2020
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