IVY GALLARDO DONNELLY

MARION, IL
NPI1134134992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-007357)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
-- IVY GALLARDO DONNELLY PT
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
-- IVY GALLARDO DONNELLY PT
600 E MERIDIAN ST
MARION, IL 62959-3554
Phone number: 618-997-5311