JOHN CONNOLLY

BLOOMINGTON, IL
NPI1801914361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  PT 070013012)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Mr. JOHN CONNOLLY RPT
700 E WALNUT ST
BLOOMINGTON, IL 61701-3244
Phone number: 309-827-8004
Mailing Address
Mr. JOHN CONNOLLY RPT
610 S CLAYTON ST
BLOOMINGTON, IL 61701-5449
Phone number: 847-441-5593