Organization
HANES PHYSICAL THERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM A. HANES M.P.T. (PHYSICAL THERAPIST, OWNER)
(309) 339-1808
Entity
Organization
Contact information
Practice address
486 N MAIN ST, CANTON, IL 61520-1828
(309) 339-1808
Mailing address
486 N MAIN ST, CANTON, IL 61520-1828
(309) 339-1808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.013338
IL
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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