Organization
GATEWAY REHABILITATION TAYLORVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D HAWKINS LPT (PARTNER)
(618) 258-9093
Entity
Organization
Contact information
Practice address
301-305 S WEBSTER, TAYLORVILLE, IL 62568
(618) 258-9093
(618) 258-9097
Mailing address
935 E AIRLINE DR, EAST ALTON, IL 62024
(618) 258-9093
(618) 258-9097
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
04/23/2008
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