STORMIE LEATHERS

BLOOMINGTON, IL
NPI1386993285
Former NameSTORMIE DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070019218)
Enumeration Date2012-09-06
Last Update Date2022-03-31
Business Address
STORMIE LEATHERS DPT
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704-8112
Phone number: 309-663-6461
Mailing Address
STORMIE LEATHERS DPT
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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