LISA FORD

HERRIN, IL
NPI1942643739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.000310)
Enumeration Date2013-04-10
Last Update Date2013-04-10
Business Address
-- LISA FORD
413 JESSE LN
HERRIN, IL 62948-3786
Phone number: 573-673-6672
Mailing Address
-- LISA FORD
413 JESSE LN
HERRIN, IL 62948-3786
Phone number:
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