ADDISON COULTER

BOURBONNAIS, IL
NPI1366892861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- ADDISON COULTER
1275 N CONVENT ST SUITE 3
BOURBONNAIS, IL 60914-8210
Phone number: 815-936-1855
Mailing Address
-- ADDISON COULTER
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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