DANIEL PRUDENCIO

MARION, IL
NPI1528363892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160004507)
Enumeration Date2011-01-18
Last Update Date2011-01-18
Business Address
Mr. DANIEL PRUDENCIO
2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5256
Phone number: 618-998-9993
Mailing Address
Mr. DANIEL PRUDENCIO
2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5256
Phone number: