Individual
DIANNE FRANCES QUIAOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 698-5359
Mailing address
PO BOX 504469, SAINT LOUIS, MO 63150-4469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020516
IL
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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