MARY AUDREY DIZON

MAHOMET, IL
NPI1346540804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070015799)
Enumeration Date2010-10-29
Last Update Date2010-10-29
Business Address
-- MARY AUDREY DIZON PT
1505 PATTON DR
MAHOMET, IL 61853-8116
Phone number: 217-586-3749
Mailing Address
-- MARY AUDREY DIZON PT
1306 MEAGHAN DR
CHAMPAIGN, IL 61822-1840
Phone number: 217-417-9731
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