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ELIAS BOUSHEH
Physical Therapist
NPI: 1902376239IndividualAccepts Medicare
Specialties, Licenses & Credentials
Athletic Trainer
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
070027717(IL)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 5255 E MARYLAND ST
DECATUR, IL 62521 - Phone
- (217) 864-1264
Quick Facts
- NPI
- 1902376239
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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