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Organization
LINCOLNLAND PHYSICAL THERAPY
Active
Organization
LINCOLNLAND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE RAY MEYER P.T. (OWNER)
(217) 787-5578
Entity
Organization
Contact information
Practice address
536 N BRUNS LN, SUITE 3, SPRINGFIELD, IL 62702-4667
(217) 787-5578
(217) 787-5595
Mailing address
536 N BRUNS LN, SUITE 3, SPRINGFIELD, IL 62702-4667
(217) 787-5578
(217) 787-5595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008415017
BLUE CROSS
IL
01
—
133443
HEALTHLINK
IL
01
—
36034
PERSONAL CARE
IL
Enumeration date
04/25/2007
Last updated
08/22/2020
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