JACOBUS ANTON WELLERDIECK

GALESBURG, IL
NPI1073850269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.008643)
Enumeration Date2013-01-09
Last Update Date2013-01-09
Business Address
-- JACOBUS ANTON WELLERDIECK PT
3333 N SEMINARY ST
GALESBURG, IL 61401-1251
Phone number: 309-344-9600
Mailing Address
-- JACOBUS ANTON WELLERDIECK PT
3333 N SEMINARY ST
GALESBURG, IL 61401-1251
Phone number: 309-344-9600
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