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Individual

CODY B DOERFLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
214 W FREEMAN ST, CARBONDALE, IL 62901-2809
(812) 491-1307
(618) 549-0226
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024815
IL

Other

Enumeration date
06/13/2018
Last updated
11/09/2020
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