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1235347741
AMY JO E LARRY
DECATUR, IL
NPI
1235347741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-011694)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mrs. AMY JO E LARRY PT
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2690
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Mailing Address
Mrs. AMY JO E LARRY PT
1613 BURNING TREE DR
DECATUR, IL 62521-9151
Phone number: 217-865-2637
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