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Individual

MR. SEAN JAMES MONTEYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.C.

Contact information

Practice address
3014 RUTLEDGE PL, QUINCY, IL 62301-4422
(217) 617-6993
Mailing address
3014 RUTLEDGE PL, QUINCY, IL 62301-4422
(217) 617-6993

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
096.001449
IL
174400000X
Specialist
119702589
225200000X
Physical Therapy Assistant
Primary
160.006970
IL

Other

Enumeration date
04/06/2006
Last updated
06/05/2015
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