Individual
CHRISTOPHER PHILLIP CORTEZ CECILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
214 W 5TH ST, JOPLIN, MO 64801-2598
(417) 782-2917
Mailing address
2503 W SPRINGFIELD AVE, APARTMENT G-1, CHAMPAIGN, IL 61821-2846
(240) 938-2328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.019838
IL
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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