Individual
PAUL EDWARD SOULARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 W SOUTH ST LOWR APT, WOODSTOCK, IL 60098-3750
(815) 529-7599
Mailing address
216 W SOUTH ST LOWR APT, WOODSTOCK, IL 60098-3750
(815) 529-7599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.023230
IL
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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