TRENT LOGAN THOMPSON

CARBONDALE, IL
NPI1902551948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070026451)
Enumeration Date2022-02-17
Last Update Date2022-02-17
Business Address
TRENT LOGAN THOMPSON DPT
2950 W WESTRIDGE PL
CARBONDALE, IL 62901-1092
Phone number: 618-457-1010
Mailing Address
TRENT LOGAN THOMPSON DPT
110 WEISBROOK LN
CARTERVILLE, IL 62918-2319
Phone number: 618-384-1319
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