Individual
BLESILDA BORERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2322 W WILLOW KNOLLS DR, PEORIA, IL 61614-1307
(309) 589-0888
Mailing address
5250 N KNOXVILLE AVE, APT. 313, PEORIA, IL 61614-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070 016164
IL
Other
Enumeration date
05/18/2014
Last updated
05/18/2014
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