BAHRAM THOMAS DIBADJ

BELLEVILLE, IL
NPI1689708745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070006477)
Enumeration Date2007-03-14
Last Update Date2010-03-25
Business Address
-- BAHRAM THOMAS DIBADJ PT
2810 FRANK SCOTT PKWY W STE. 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
Mailing Address
-- BAHRAM THOMAS DIBADJ PT
2810 FRANK SCOTT PKWY W STE. 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705