Individual
SARANDON DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 DEVON DR, GERMANTOWN HILLS, IL 61548-9460
(309) 383-2970
Mailing address
719 DEVON DR, GERMANTOWN HILLS, IL 61548-9460
(309) 383-2970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30967
FL
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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