Individual
CHRISTOPHERSON SOLLANO CARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
305 W JACKSON ST, CARBONDALE, IL 62901-1474
(618) 549-0721
(618) 529-0403
Mailing address
803 1-2 W. PECAN ST., APARTMENT C, CARBONDALE, IL 62901
(618) 319-0602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70014786
GU
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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