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Organization

APEX PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADLEY R PFITZNER OTR/L (CEO/PRESIDENT)
(618) 651-0444
Entity
Organization

Contact information

Practice address
1004 E ILLINOIS ST., ASSUMPTION, IL 62510
(217) 226-5804
(217) 226-6804
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
(618) 654-5439

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06032069
BCBS OF ILLINOIS
IL
Enumeration date
07/09/2006
Last updated
09/16/2007
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