DIANA JANE SOUDER

BLOOMINGTON, IL
NPI1790033306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.001913)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- DIANA JANE SOUDER P.T.
2200 EAST WASHINGTON STREES
BLOOMINGTON, IL 61701
Phone number: 309-662-3311
Mailing Address
-- DIANA JANE SOUDER P.T.
2200 EAST WASHINGTON STREES
BLOOMINGTON, IL 61701
Phone number: 309-662-3311
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