Organization
ASTA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MEISEMAN (VP)
(847) 331-2047
Entity
Organization
Contact information
Practice address
300 W LOWELL AVE, PONTIAC, IL 61764-2614
(815) 842-1181
Mailing address
300 W LOWELL AVE, PONTIAC, IL 61764-2614
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
IL
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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