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Organization
KEWANEE PHYSICAL THERAPY AND REHAB SPECIALISTS LLC
Active
Organization
KEWANEE PHYSICAL THERAPY AND REHAB SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D BRIAND (CO-OWNER)
(877) 552-2996
Entity
Organization
Contact information
Practice address
1258 W SOUTH ST, SUITE 1, KEWANEE, IL 61443-8300
(866) 932-5400
(309) 932-8105
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
070009875
IL
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
06/11/2012
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