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Individual

MR. SHAWN J COELHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
111 E WASHINGTON ST, BENSENVILLE, IL 60106-2674
(630) 787-4382
(630) 521-0944
Mailing address
640 GEORGE ST, BENSENVILLE, IL 60106-3250

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005885
IL

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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