Organization Name: | ADVANCED PHYSICAL THERAPY SERVICES, LTD |
NPI Number: | 1770843443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SALAWAY (PRESIDENT) |
Mailing Address: | 604 Sw 3rd St Aledo |
State: | IL US |
Postal Code: | 612311808 |
Phone Number: | 3096618823 |
Fax Number: | 3096618801 |
NPI Enumeration Date: | 05/29/2012 |
NPI Last Update Date: | 05/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 070-010041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |