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Organization
SPORTS PHYSICAL THERAPY & REHAB SPECIALIST SC
Active
Organization
SPORTS PHYSICAL THERAPY & REHAB SPECIALIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI COOK (VP OF BILLING OPERATIONS)
(630) 575-1940
Entity
Organization
Contact information
Practice address
25250 75TH ST, SALEM, WI 53168-8705
(262) 843-4200
Mailing address
600 OAKMONT LN # 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
04/10/2018
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