KEATON T KOROSEC

FREEPORT, IL
NPI1205691862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160007677)
Enumeration Date2024-02-13
Last Update Date2024-02-13
Business Address
Mr. KEATON T KOROSEC
1838 VALLEYVIEW DR
FREEPORT, IL 61032-3614
Phone number: 815-291-8780
Mailing Address
Mr. KEATON T KOROSEC
1838 VALLEYVIEW DR
FREEPORT, IL 61032-3614
Phone number: 815-291-8780