Individual
DIANNE ZUASULA CATOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 751-3817
Mailing address
211 WILDROSE LN APT B, MARION, IL 62959-1216
(618) 751-3817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021853
IL
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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