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Organization
HANDS ON HEALTH PHYSICAL THERAPY PC
Active
Organization
HANDS ON HEALTH PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LEA LILJA PT (PRESIDENT/OWNER)
(815) 623-1476
Entity
Organization
Contact information
Practice address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 623-1476
(815) 623-1476
Mailing address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 623-1476
(815) 623-1476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005636
IL
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318585967001
—
IL
01
—
426814
BCBS
IL
Enumeration date
05/09/2006
Last updated
02/14/2017
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