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Organization
UNITED PHYSICAL THERAPY, LLC
Active
Organization
UNITED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONDRA LANELLE BLOCKI PT (OWNER)
(815) 220-8787
Entity
Organization
Contact information
Practice address
2200 MARQUETTE RD, SUITE 111, PERU, IL 61354-1547
(815) 220-8787
(815) 220-8790
Mailing address
2200 MARQUETTE RD, SUITE 111, PERU, IL 61354-1547
(815) 220-8787
(815) 220-8790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05032044
BCBS
IL
Enumeration date
02/28/2007
Last updated
08/22/2020
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