Organization
LISENBY PHYSICAL THERAPY FOR WOMEN, INC.
Active
Other names
McKenna Physical Therapy, Inc., McKenna Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LISENBY PT (PRESIDENT)
(309) 839-8631
Entity
Organization
Contact information
Practice address
5101 N EXECUTIVE DR, PEORIA, IL 61614-4868
(309) 839-8631
(855) 579-3536
Mailing address
5101 N EXECUTIVE DR, PEORIA, IL 61614-4868
(309) 839-8631
(855) 579-3536
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070013673
IL
Other
Enumeration date
06/07/2013
Last updated
03/26/2024
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