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Organization

CITY CENTER REHABILITATION WEST - INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY R SEMLOW PT (OWNER)
(815) 223-4479
Entity
Organization

Contact information

Practice address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
(815) 223-4489
Mailing address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
(815) 223-4489

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070003050
IL

Other

Enumeration date
01/06/2009
Last updated
01/06/2009
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