ALICIA KOONTZ

DECATUR, IL
NPI1932464633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2012-07-09
Last Update Date2012-07-09
Business Address
-- ALICIA KOONTZ
102 W KENWOOD AVE
DECATUR, IL 62526-4368
Phone number: 217-876-2690
Mailing Address
-- ALICIA KOONTZ
102 W KENWOOD AVE
DECATUR, IL 62526-4368
Phone number: