VICTOR LIDAYWA, DPT
Clinic/Center - Physical Therapy
Active
Individual
NPI: 1083178198
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | No | 070.017800 (IL) |
| Clinic/Center - Physical Therapy | 261QP2000X | Yes | 070.017800 (IL) |
Frequently Asked Questions
NPI 1083178198 is the National Provider Identifier for VICTOR LIDAYWA, DPT, a Clinic/Center - Physical Therapy provider located in Macomb, IL. This NPI was enumerated on January 23, 2019.
VICTOR LIDAYWA, DPT practices at 1701 W JACKSON ST, STE C, Macomb, IL 61455.
Quick Facts
- NPI
- 1083178198
- Type
- Individual
- Enumerated
- Jan 23, 2019
- Last Updated
- Feb 2, 2019
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