Organization
RACE DAY EDUCATION PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GALLAS PT (DOCTOR OF PHYSICAL THERAPY)
(815) 985-8891
Entity
Organization
Contact information
Practice address
12411 LAKEVIEW DR, LOVES PARK, IL 61111-8969
(815) 985-8891
Mailing address
12411 LAKEVIEW DR, LOVES PARK, IL 61111-8969
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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