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Individual

DAVID T FOSBURGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3289 COURT ST, PEKIN, IL 61554-6208
(309) 347-0090
(309) 347-0098
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-023454
IL
225100000X
Physical Therapist

Other

Enumeration date
08/28/2017
Last updated
04/07/2022
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