SHAUN PORTER

MAYWOOD, IL
NPI1649523200
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070007372)
Enumeration Date2012-10-19
Last Update Date2012-10-19
Business Address
-- SHAUN PORTER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-5300
Mailing Address
-- SHAUN PORTER
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Phone number:
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