Organization Name: | APEX PHYSICAL THERAPY, LLC. |
NPI Number: | 1316963762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRADLEY R PFITZNER (CEO PRESIDENT) |
Mailing Address: | 560 N 2nd St Breese |
State: | IL US |
Postal Code: | 622301650 |
Phone Number: | 6185267801 |
Fax Number: | 6185267901 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 09/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |