Organization
CBM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN B MUSHOLT PT (PHYSICAL THERAPIST)
(217) 228-2262
Entity
Organization
Contact information
Practice address
4700 PEBBLE BEACH DR, QUINCY, IL 62305-6098
(217) 228-2262
Mailing address
4700 PEBBLE BEACH DR, QUINCY, IL 62305-6098
(217) 228-2262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2006005286
MO
225100000X
Physical Therapist
Primary
70005018
IL
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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