Individual
NEILL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
812 AIRPORT RD, GODFREY, IL 62035-2920
(618) 466-2134
Mailing address
621 FORD ST, FREEBURG, IL 62243-2506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002076
IL
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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