Individual
MR. DON EUGENE SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1790 S FAIRVIEW AVE, DECATUR, IL 62521-4010
(217) 429-2551
Mailing address
1790 S FAIRVIEW AVE, DECATUR, IL 62521-4010
(217) 429-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002163
IL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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