| Cairo Rehab & Fit Fore Golf Inc | |
|
120 N Front St, Mounds, IL 62964-1022 | |
| (304) 363-7000 | |
| (304) 366-7413 |
| Full Name | Cairo Rehab & Fit Fore Golf Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 120 N Front St, Mounds, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144418138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gordon Dean Holden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316038938 PECOS PAC ID: 4082698550 Enrollment ID: I20040614001557 |
| Mailing Address | Practice Location Address |
|---|---|
| Cairo Rehab & Fit Fore Golf Inc 120 N Front St, Mounds, IL 62964-1022 Ph: (304) 363-7000 | Cairo Rehab & Fit Fore Golf Inc 120 N Front St, Mounds, IL 62964-1022 Ph: (304) 363-7000 |
Gordon D Holden, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 N Front St, Cairo Rehab & Fit For Golf Inc, Mounds, IL 62964 Phone: 304-363-7000 Fax: 304-366-7413 | |
Mrs. Elly Nelson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 429 S Blanche St, Mounds, IL 62964 Phone: 618-745-9419 Fax: 618-745-9421 |