Individual
COLLEEN M FITZPATRICK-GRABOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
620 FILLMORE ST, OTTAWA, IL 61350-2772
(815) 313-9424
Mailing address
545 ILLINOIS ST, MARSEILLES, IL 61341-1931
(815) 313-9424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.019512
IL
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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