Individual
DEEPA MURUKESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 34TH AVENUE A, MOLINE, IL 61265-6602
(309) 762-6808
Mailing address
4810 34TH AVENUE A, MOLINE, IL 61265-6602
(309) 762-6808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017114
IL
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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