SUSAN CHRISTINE PORTNER

MOUNT VERNON, IL
NPI1124071915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-005588)
Enumeration Date2006-05-19
Last Update Date2007-07-09
Business Address
Mrs. SUSAN CHRISTINE PORTNER RPT
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-6262
Phone number: 618-242-8887
Mailing Address
Mrs. SUSAN CHRISTINE PORTNER RPT
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-6262
Phone number: 618-242-8887
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