Organization
ADVANCED PHYSICAL THERAPY SERVICES LTD
Active
Other names
Advanced Rehab Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN OERTWIG (DIRECTOR OF FINANCE)
(309) 661-8823
Entity
Organization
Contact information
Practice address
256 S SOANGETAHA RD STE 108, GALESBURG, IL 61401-5596
(309) 343-3434
(309) 343-3456
Mailing address
PO BOX 47, BLOOMINGTON, IL 61702-0047
(309) 661-8823
(309) 661-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/02/2014
Last updated
11/03/2022
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