Search › Illinois › Physical Therapy Clinic/Center
Victor Lidaywa, DPT
NPI 1083178198 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1701 W Jackson St
Ste C
Macomb, IL 61455 - Phone
- (309) 331-3590
- Organisation at this address
- Graham Hospital Association
Age Rehab & Medical FitnessInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physical Therapy Clinic/Center
261QP2000X
- Also registered as
- Physical Therapist
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois