Individual
MR. CONNOR SKOUMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 284-5750
Mailing address
403 E 1ST ST, DIXON, IL 61021-3187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024576
IL
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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