Organization
MANTENO PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A RYBA P.T. (OWNER)
(815) 468-7300
Entity
Organization
Contact information
Practice address
19 W DIVISION ST, MANTENO, IL 60950-1533
(815) 468-7300
Mailing address
19 W DIVISION ST, MANTENO, IL 60950-1533
(815) 468-7300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070.008529
IL
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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