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1932464633
ALICIA KOONTZ
DECATUR, IL
NPI
1932464633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
-- ALICIA KOONTZ
102 W KENWOOD AVE
DECATUR, IL 62526-4368
Phone number: 217-876-2690
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Mailing Address
-- ALICIA KOONTZ
102 W KENWOOD AVE
DECATUR, IL 62526-4368
Phone number:
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