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NPI Code Detail

MEDICARE: PROFESSIONAL THERAPY SERVICES, INC.

MEDICARE: PROFESSIONAL THERAPY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1053639781
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL THERAPY SERVICES, INC.
Provider Business Mailing Address
First Line : 211 E HANOVER ST
Second Line :
City : NEW BADEN
State : IL
Zip : 62265-1811
Country : US
Telephone Number : 618-588-4000
Fax Number : 618-588-4800
Provider Business Practice Location Address
First Line : 211 E HANOVER ST
Second Line :
City : NEW BADEN
State : IL
Zip : 62265-1811
Country : US
Telephone Number : 618-588-4000
Fax Number : 618-588-4800
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL R RILEY
Credential :
Telephone Number : 618-234-9705
Provider Enumeration Date : 05/05/2010
Last Update Date : 05/05/2010

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Directions to “PROFESSIONAL THERAPY SERVICES, INC. ” Practice Location

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