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Organization
MYOFASCIAL RELEASE THERAPY, LLC
Active
Organization
MYOFASCIAL RELEASE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA G CARLEY P.T. (OWNER)
(815) 844-2464
Entity
Organization
Contact information
Practice address
1405 W REYNOLDS ST, PONTIAC, IL 61764-0468
(815) 844-2464
(815) 842-1024
Mailing address
1405 W REYNOLDS ST, PO BOX 468, PONTIAC, IL 61764-0468
(815) 844-2464
(815) 842-1024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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