THOMAS STEVEN PORTNER

CARBONDALE, IL
NPI1861602617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070005578)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. THOMAS STEVEN PORTNER PT
200 N EMERALD LN 1A
CARBONDALE, IL 62901-2100
Phone number: 618-549-9449
Mailing Address
Mr. THOMAS STEVEN PORTNER PT
16864 E IL HIGHWAY 15
MOUNT VERNON, IL 62864-9816
Phone number: 618-242-3739
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