Individual
HEATHER DELORIEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2200 FORT JESSE RD, SUITE 250, NORMAL, IL 61761-6286
(309) 454-1616
(309) 454-5167
Mailing address
2200 FORT JESSE RD, SUITE 250, NORMAL, IL 61761-6286
(309) 454-1616
(309) 454-5167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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