Organization
CYMRU THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANINE DENISE BOEHME LPT (PRESIDENT)
(217) 825-9448
Entity
Organization
Contact information
Practice address
2834 FORREST LANE, DECATUR, IL 62521
(217) 825-9448
(217) 422-5449
Mailing address
2834 FORREST LANE, DECATUR, IL 62521
(217) 825-9448
(217) 422-5449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05832027
BCBS PROVIDER NUMBER
IL
Enumeration date
04/19/2007
Last updated
08/22/2020
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