Individual
ANGELA MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2381
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012732
IL
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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