Individual
ALFREDO GIANAN AGUILAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1201 NEWCASTLE RD, WASHINGTON, IL 61571-1243
(309) 444-3161
Mailing address
821 OAKWOOD RD, EAST PEORIA, IL 61611-1652
(309) 634-9378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016154
IL
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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