Individual
GREG MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
850 43RD AVE, STE 200 AND 300, MOLINE, IL 61265-8401
(309) 743-0300
(309) 743-0318
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01127
IA
225100000X
Physical Therapist
Primary
070-003539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01127
IOWA PT LICENSE NO.
IA
01
—
070-003539
ILLINOIS PT LICENSE NO.
IL
05
—
248566976001
—
IL
Enumeration date
04/27/2006
Last updated
04/12/2012
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