LORA D MOCK

CHAMPAIGN, IL
NPI1245544352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.006096)
Enumeration Date2010-07-30
Last Update Date2010-07-30
Business Address
-- LORA D MOCK PT
910 BIRKDALE DR
CHAMPAIGN, IL 61822-8114
Phone number: 217-352-6536
Mailing Address
-- LORA D MOCK PT
910 BIRKDALE DR
CHAMPAIGN, IL 61822-8114
Phone number: 217-352-6536