CLARK O VANDEGRAFT

PEORIA, IL
NPI1215493358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
CLARK O VANDEGRAFT PTA
3614 N ROCHELLE LN
PEORIA, IL 61604-1039
Phone number: 309-688-0350
Mailing Address
CLARK O VANDEGRAFT PTA
109 BERRY ROAD
MARQUETTE HEIGHTS, IL 61554
Phone number: 309-840-1720
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