JADE DERDER

URBANA, IL
NPI1790305563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070023644)
Enumeration Date2020-04-22
Last Update Date2020-04-22
Business Address
JADE DERDER PT
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3311
Mailing Address
JADE DERDER PT
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number: