Individual
COLE UEBELHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2530
(309) 671-2950
Mailing address
1454 NE WINDERMERE DR, TREMONT, IL 61568-9782
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070023567
IL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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