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Organization
ORTHOPEDIC REHAB SPECIALISTS OF DIXON, LLC
Active
Organization
ORTHOPEDIC REHAB SPECIALISTS OF DIXON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON K GREEN PT, OMT (PRESIDENT)
(815) 227-1700
Entity
Organization
Contact information
Practice address
201 LINCOLN STATUE DR, DIXON, IL 61021-2000
(815) 284-1700
(815) 284-1704
Mailing address
2662 MCFARLAND RD, ROCKFORD, IL 61107-6806
(815) 284-1700
(815) 284-1704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
01/08/2013
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