BLAIR THOMAS GORSUCH

PEORIA, IL
NPI1215367750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Y00000X Clinical Exercise Physiologist
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
MR. BLAIR THOMAS GORSUCH M.S.
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-621-4106
Mailing Address
MR. BLAIR THOMAS GORSUCH M.S.
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-621-4106