STACEY MERRITT

BLOOMINGTON, IL
NPI1205185501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.014122)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
-- STACEY MERRITT P.T.
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-662-3311
Mailing Address
-- STACEY MERRITT P.T.
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
Phone number: 309-662-3311
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