Graduated: 2016
NPI: 1992234504
Practice Locations (2)
SELECT PHYSICAL THERAPY HOLDINGS INC
1104 W MAIN ST
BENTON, IL 628121565
6184393399
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
520 N 4TH ST
SPRINGFIELD, IL 627025238
2175458000
Source: CMS National Downloadable File, September 2026.