CARLY NICOLE WERTZ

PEORIA, IL
NPI1295384949
Former NameCARLY MILES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070024730)
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
CARLY NICOLE WERTZ Carly
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-5522
Mailing Address
CARLY NICOLE WERTZ Carly
7150 N TERRA VISTA DR APT 301
PEORIA, IL 61614-1346
Phone number: