Individual
DEBRA SUE TALLCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1426 N 2250TH AVE, MENDON, IL 62351-2907
(217) 936-2534
Mailing address
1426 N 2250TH AVE, MENDON, IL 62351-2907
(217) 936-2534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01183
IA
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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