CHRISTOPHER SHANE SMITH

PERU, IL
NPI1003281668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: IL  070.015326)
Enumeration Date2015-12-08
Last Update Date2015-12-08
Business Address
-- CHRISTOPHER SHANE SMITH
1400 MIDTOWN ROAD
PERU, IL 61354
Phone number: 815-223-8600
Mailing Address
-- CHRISTOPHER SHANE SMITH
1400 MIDTOWN ROAD
PERU, IL 61354
Phone number: 815-223-8600
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