Individual
BETHANY LYNN ZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
2110 FOX DR, CHAMPAIGN, IL 61820-7553
(217) 366-1237
Mailing address
206 W WHITE ST, CHAMPAIGN, IL 61820-4804
(217) 366-1270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32307
FL
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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