Individual
MR. DONALD CLAY COURTIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
REHABILITATION SERVICES MOMORIAL HOSPITAL, 4500 MEMORIAL DRIVE, BELLEVILLE, IL 62226-5360
(618) 257-5254
(618) 257-6929
Mailing address
9 OAK KNOLL PLACE, BELLEVILLE, IL 62223-1817
(618) 398-0188
(618) 257-6929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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