Individual
DORIS A THOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1021 W E ST, BELLEVILLE, IL 62220-1055
(618) 233-2095
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(618) 401-0671
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070-010391
IL
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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