Individual
ROBERT JOHN UZUMECKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 431-5692
Mailing address
1706 SUNSET DR, PERU, IL 61354-1221
(815) 343-9411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006319
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09191984
—
IL
Enumeration date
12/09/2022
Last updated
12/09/2022
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