Individual
ANNABELLE L OGERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1211 BROAD CREEK RD, BLOOMINGTON, IL 61704-8536
(309) 287-5183
Mailing address
1211 BROAD CREEK RD, BLOOMINGTON, IL 61704-8536
(309) 287-5183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70015198
IL
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
About Stedi
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