# FIRST CHOICE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1417387010
- **Authorized official:** CHAD E STUPAVSKY (HR)
- **Authorized official phone:** (217) 224-1750

## Contact information

- **Practice address:** 5 STATE AND 8TH PLZ, QUINCY, IL 62301-4960
- **Practice address phone:** (217) 224-1750
- **Mailing address:** 5 STATE AND 8TH PLZ, QUINCY, IL 62301-4960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 11/18/2013