SHANE RECER

BELLEVILLE, IL
NPI1154754737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.020077)
Enumeration Date2013-08-19
Last Update Date2013-08-19
Business Address
-- SHANE RECER
144 LINCOLN PLACE CT
BELLEVILLE, IL 62221-5878
Phone number: 618-233-5163
Mailing Address
-- SHANE RECER
15 APEX DR
HIGHLAND, IL 62249-1282
Phone number:
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