RYAN FAIRCHILD

PEORIA, IL
NPI1073632154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-012128)
Enumeration Date2007-03-28
Last Update Date2010-03-25
Business Address
RYAN FAIRCHILD
900 MAIN ST STE 450
PEORIA, IL 61602-1005
Phone number: 309-672-4568
Mailing Address
RYAN FAIRCHILD
900 MAIN ST STE 450
PEORIA, IL 61602-1005
Phone number: 309-672-4568
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