JUAN F PARDO

DECATUR, IL
NPI1447586979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057000919)
Enumeration Date2009-10-17
Last Update Date2009-10-17
Business Address
Mr. JUAN F PARDO COTA/L
444 W HARRISON AVE
DECATUR, IL 62526-4157
Phone number: 217-877-7333
Mailing Address
Mr. JUAN F PARDO COTA/L
113 PEBBLE BEACH DR
SPRINGFIELD, IL 62704-3151
Phone number: 217-787-3495