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1487874467
ERIC PHILIP FEDER
BELLEVILLE, IL
NPI
1487874467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070008724)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. ERIC PHILIP FEDER LPT
4500 MEMORIAL DRIVE MEMORIAL HOSPITAL PHYSICAL THERAPY DEPT
BELLEVILLE, IL 62226
Phone number: 618-257-5258
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Mailing Address
Mr. ERIC PHILIP FEDER LPT
1135 FOREST HILL DRIVE
BELLEVILLE, IL 62221-4082
Phone number: 618-257-5770
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