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Individual

DEBORAH E SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
2120 N 27TH ST, DECATUR, IL 62526-2191
(217) 423-4300
(217) 423-3428
Mailing address
2120 N 27TH ST, DECATUR, IL 62526-2191
(217) 423-4300
(217) 423-3428

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.011321
IL

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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