Organization
CREATIVE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA DAVIDSON PT (OWNNER)
(847) 599-9171
Entity
Organization
Contact information
Practice address
222 S GREENLEAF ST, SUITE 101, GURNEE, IL 60031-5705
(847) 599-9171
(847) 599-9124
Mailing address
4835 KINGSWAY WEST, GURNEE, IL 60031-5705
(847) 599-9171
(847) 599-9124
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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