Organization
REHAB CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA MARIE SHATTUCK (PHYSICAL THERAPIST ASSISTANT)
(815) 544-1178
Entity
Organization
Contact information
Practice address
4971 WALNUT GROVE DR, POPLAR GROVE, IL 61065-8600
(815) 544-1178
Mailing address
4971 WALNUT GROVE DR, POPLAR GROVE, IL 61065-8600
(815) 544-1178
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
160003429
IL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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