PORTIA MARIE FORE

HERRIN, IL
NPI1841444163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.004955)
Enumeration Date2008-11-13
Last Update Date2008-11-13
Business Address
Mrs. PORTIA MARIE FORE P.T.A.
1901 N 13TH ST
HERRIN, IL 62948-2839
Phone number: 618-942-3274
Mailing Address
Mrs. PORTIA MARIE FORE P.T.A.
1901 N 13TH ST
HERRIN, IL 62948-2839
Phone number: 618-942-3274
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