# KEWANEE PHYSICAL THERAPY AND REHAB SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1629081906
- **Authorized official:** LARRY D BRIAND (CO-OWNER)
- **Authorized official phone:** (877) 552-2996

## Contact information

- **Practice address:** 1258 W SOUTH ST, SUITE 1, KEWANEE, IL 61443-8300
- **Practice address phone:** (866) 932-5400
- **Practice address fax:** (309) 932-8105
- **Mailing address:** PO BOX 3497, STURTEVANT, WI 53177-3497
- **Mailing address phone:** (877) 552-2996
- **Mailing address fax:** (866) 245-8064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070009875 | IL | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 06/11/2012