LISA STUPER

SPRINGFIELD, IL
NPI1356931562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.003557)
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
LISA STUPER
4242 N PEORIA RD
SPRINGFIELD, IL 62702-1125
Phone number: 217-381-8141
Mailing Address
LISA STUPER
4242 N PEORIA RD
SPRINGFIELD, IL 62702-1125
Phone number: 217-381-8141
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