MELVIN JOHN PONTOY LUCES

DECATUR, IL
NPI1811137037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070015575)
Enumeration Date2009-02-27
Last Update Date2009-02-27
Business Address
Mr. MELVIN JOHN PONTOY LUCES PT
444 W HARRISON AVE
DECATUR, IL 62526-4157
Phone number: 217-877-7333
Mailing Address
Mr. MELVIN JOHN PONTOY LUCES PT
2490 COUNTRY TRL APT 110
DECATUR, IL 62526-3967
Phone number: 217-619-1385
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