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MARIE-SUSANNE LANGILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
(309) 310-2701
Mailing address
204 WOODLAND AVE, BLOOMINGTON, IL 61701-5660
(309) 310-2701

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009370
IL

Other

Enumeration date
09/30/2021
Last updated
09/30/2021
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