Organization
HANDS ON HEALTH PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA LEA LILJA PT (PRESIDENT/OWNER)
(815) 623-1476
Entity
Organization
Contact information
Practice address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 623-1476
(815) 623-1476
Mailing address
11447 2ND ST STE 9B, ROSCOE, IL 61073-9522
(815) 623-1476
(815) 623-1476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005636
IL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318585967001
—
IL
01
—
426814
BCBS
IL
Enumeration date
05/09/2006
Last updated
02/14/2017
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