SUE WILLIS

PEORIA, IL
NPI1154512291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160001205)
Enumeration Date2007-08-05
Last Update Date2007-08-05
Business Address
-- SUE WILLIS PTA
7725 N KNOXVILLE AVE
PEORIA, IL 61614-2079
Phone number: 309-693-9189
Mailing Address
-- SUE WILLIS PTA
7725 N KNOXVILLE AVE
PEORIA, IL 61614-2079
Phone number: 309-693-9189
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