Organization
THE WELL DOWN THE LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE RICHARDSON (OFFICE MANAGER)
(217) 609-0009
Entity
Organization
Contact information
Practice address
20 ASHLEY LN, CASEY, IL 62420-2178
(217) 609-0009
Mailing address
20 ASHLEY LN, CASEY, IL 62420-2178
(217) 609-0009
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/10/2022
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