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Individual

DANIEL C ROUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
525 S SWEETBRIAR DR STE C, CHILLICOTHE, IL 61523-2266
(309) 274-6314
(309) 274-4100
Mailing address
2900 FRANK SCOTT PKWY W STE 928, BELLEVILLE, IL 62223-5000
(618) 234-9705
(618) 234-9867

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
11/16/2017
Last updated
03/21/2022
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