CODY CONRAD MERRILL

OREGON, IL
NPI1356042386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160008092)
Enumeration Date2023-03-16
Last Update Date2023-03-16
Business Address
Mr. CODY CONRAD MERRILL PTA
811 S 10TH ST
OREGON, IL 61061-2129
Phone number: 815-732-7994
Mailing Address
Mr. CODY CONRAD MERRILL PTA
405 DEVONSHIRE ST
DIXON, IL 61021-1116
Phone number: 815-441-9965
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