ILDE BOY TAN VELASCO

GRANITE CITY, IL
NPI1316674112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
MR. ILDE BOY TAN VELASCO PT, DPT
3500 CENTURY DR
GRANITE CITY, IL 62040-2166
Phone number: 618-877-2700
Mailing Address
MR. ILDE BOY TAN VELASCO PT, DPT
4503 E FOXMOOR LN
LAFAYETTE, IN 47905-8562
Phone number: 765-421-9840
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