Organization
POPLAR GROVE PHYSICAL THERAPY, INC.
Active
Other names
CORA Physical Therapy - Poplar Grove
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
(419) 221-6717
Entity
Organization
Contact information
Practice address
13526 JULIE DR, POPLAR GROVE, IL 61065-7829
(815) 765-1155
(815) 765-1166
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(815) 234-5870
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
09/28/2023
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