Organization
ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY REIS (PARTNER)
(217) 222-6800
Entity
Organization
Contact information
Practice address
3032 BROADWAY ST, QUINCY, IL 62301-3708
(217) 222-6800
(217) 222-0037
Mailing address
3032 BROADWAY ST, QUINCY, IL 62301-3708
(217) 222-6800
(217) 222-0037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
10/23/2007
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