Individual
DR. ATIF MASOOD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
411 HAMILTON BLVD STE 1908, PEORIA, IL 61602-1146
(309) 674-7874
(309) 674-7814
Mailing address
1800 W BLUEBONNET DR APT 16316, PEORIA, IL 61615-7085
(309) 231-9556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023212
IL
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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