CID ANTHONY MELOCOTON

SPRINGFIELD, IL
NPI1154073559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070008391)
Enumeration Date2022-01-26
Last Update Date2022-01-26
Business Address
Mr. CID ANTHONY MELOCOTON PT
2625 KIPLING DR
SPRINGFIELD, IL 62711-6232
Phone number: 217-899-1658
Mailing Address
Mr. CID ANTHONY MELOCOTON PT
2625 KIPLING DR
SPRINGFIELD, IL 62711-6232
Phone number: 217-899-1658
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