Healthcare Provider Details

I. General information

NPI: 1871787325
Provider Name (Legal Business Name): ALL CARE THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 E 2450TH RD
MARSEILLES IL
61341-9749
US

IV. Provider business mailing address

2529 E 2450TH RD
MARSEILLES IL
61341-9749
US

V. Phone/Fax

Practice location:
  • Phone: 815-795-0627
  • Fax:
Mailing address:
  • Phone: 815-795-0627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULI ANN KENT
Title or Position: OWNER
Credential: P.T.
Phone: 815-795-0627