Individual
MRS. DEANNA L MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1676 ROCKVIEW RD, DIXON, IL 61021-8750
(815) 284-2077
(815) 284-2077
Mailing address
1676 ROCKVIEW RD, DIXON, IL 61021-8750
(815) 284-2077
(815) 284-2077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012108
IL
Other
Enumeration date
01/11/2006
Last updated
09/22/2009
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