MIA ANICA KHEY FUENTEBELLA

DANVILLE, IL
NPI1710558465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2021-07-05
Last Update Date2021-07-05
Business Address
MIA ANICA KHEY FUENTEBELLA PT
812 N LOGAN AVE
DANVILLE, IL 61832-3752
Phone number: 217-443-5000
Mailing Address
MIA ANICA KHEY FUENTEBELLA PT
4510 NICKLAUS DR APT 105
CHAMPAIGN, IL 61822-1489
Phone number:
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