Individual
MRS. DESIREE DIOCSON SIMPAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3329 13TH AVE. CT., MOLINE, IL 61265
(307) 764-6744
Mailing address
3329 13TH AVE. CT., MOLINE, IL 61265
(307) 764-6744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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