Facility Number: |
4045868 |
Status: |
Exempt |
Facility Name: |
Phoenix Physical Therapy |
Address: |
126 South 1st St Vandalia, IL 62471 |
County: |
Fayette |
Property Parcel: |
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Facility Type: |
None |
Owner Type: |
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Green Tag Decal: |
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Green Tag Issue Date: |
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Green Tag Expiration Date: |
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