DAVID ARLEN VANCOPPENOLLE

BLOOMINGTON, IL
NPI1447509872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070011282)
Enumeration Date2012-08-30
Last Update Date2012-08-30
Business Address
MR. DAVID ARLEN VANCOPPENOLLE P.T.
2200 EAST WASHINGTON ST.
BLOOMINGTON, IL 61701
Phone number: 309-662-3311
Mailing Address
MR. DAVID ARLEN VANCOPPENOLLE P.T.
2200 EAST WASHINGTON ST.
BLOOMINGTON, IL 61701
Phone number: 309-662-3311
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