Michael Golliher

NPI 1679734347 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1679734347
Gender Male
Enumeration Date 06/24/2008
Last Updated 06/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2401 W MAIN ST
MARION IL, 62959-1188, US
Phone (618) 997-5311
Fax (618) 998-5688
Business Location
2401 W MAIN ST
MARION IL, 62959-1188, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160002638
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According to our database, Michael Golliher NPI is 1679734347, taxonomy code is 225200000X and license number is 160002638, license state is located at Illinois. Michael Golliher physically located at 2401 W Main St, Marion IL, 62959-1188. NPI Number Michael Golliher has the Individual type.

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1679734347 NPI number is provided on an as is basis without warranty of any kind. 1679734347 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Golliher are for informational purposes only.