JOHN LORENZ LOYOLA MANUBAG

SWANSEA, IL
NPI1003449489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.024932)
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
JOHN LORENZ LOYOLA MANUBAG PT, DPT
3900 SULLIVAN DR
SWANSEA, IL 62226-7397
Phone number: 618-234-8910
Mailing Address
JOHN LORENZ LOYOLA MANUBAG PT, DPT
124 KENNETH DR APT C
TROY, IL 62294-1742
Phone number: 859-408-5775
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