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Organization

PERSONAL PERFORMANCE TRAINING & REHABILIATION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MARGARET KLEBER BS (OWNER)
(217) 337-4313
Entity
Organization

Contact information

Practice address
1804 N LINCOLN AVE, URBANA, IL 61801-1023
(217) 337-4313
(217) 337-1914
Mailing address
1804 N LINCOLN AVE, URBANA, IL 61801-1023
(217) 337-4313
(217) 337-1914

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.001528
IL
225700000X
Massage Therapist
227.001883
IL
226300000X
Kinesiotherapist
1290
IL
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
03/20/2007
Last updated
02/03/2017
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