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Individual

SCOTT ABNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
185 W IMBODEN DR, DECATUR, IL 62521-5251
(217) 233-1425
(217) 233-1777
Mailing address
715 W SAINT LOUIS ST, LEBANON, IL 62254-1318

Taxonomy

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

Other

Enumeration date
07/04/2006
Last updated
07/08/2007
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