Organization
ADVANCED PHYSICAL THERAPY SERVICES, LTD
Active
Other names
Advanced Rehab and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R SALAWAY (PRESIDENT OF OPERATIONS)
(309) 661-8823
Entity
Organization
Contact information
Practice address
135 N WILLIAMSBURG DRIVE, BLOOMINGTON, IL 61704
(309) 661-8823
(309) 661-8801
Mailing address
PO BOX 47, BLOOMINGTON, IL 61702-0047
(309) 661-8823
(309) 661-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
225X00000X
Occupational Therapist
—
IL
235Z00000X
Speech-Language Pathologist
—
IL
Other
Enumeration date
08/16/2005
Last updated
05/19/2022
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