OrganizationActive
Traditions Rehab, Inc.
NPI 1881822401 · Physical Therapist · Casey, IL
Provider details
- NPI number
- 1881822401
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Clark Cochonour, Ceo(217) 508-9911
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
10804 N Hickory Ln
Casey, IL 62420-3510
Phone: (217) 508-9911
Approximate (ZIP-level) locationGet directions
Mailing address
10804 N Hickory Ln
Casey, IL 62420-3510
Registry dates
- Enumerated
- 2009-06-23
- Last updated
- 2009-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.