Individual provider · Type 1 NPI
Victor Erude Lidaywa, DPT
Physical Therapy Clinic/Center · Macomb, IL
Practice location
1701 W Jackson St, Ste C
Macomb, IL 61455-3175
Mailing address
305 E Summit St
Macomb, IL 61455-3223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 070.017800 (IL) |
| Physical Therapy Clinic/Center Primary | 261QP2000X | 070.017800 (IL) |
Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…
Another provider at this address
About NPI 1083178198
Victor Erude Lidaywa, DPT's National Provider Identifier is 1083178198, issued on Jan 23, 2019. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Macomb, IL. The record was last updated on Feb 2, 2019.