Ida Riva Jamandron Caro, PT
Physical Therapist in Herrin, IL. Individual provider (NPI-1).
NPI number1104092956
StatusActive
Last updated in NPPESMay 1, 2008
Details
- NPI
- 1104092956
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ida Riva Jamandron Caro
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2008
- Last updated
- May 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070016280 | IL | Yes |
Practice location
201 S 14th StHerrin, IL 62948-3631
Phone 618-942-2171 · Fax 618-351-4926
Mailing address
803 1/2 W Pecan StApt. C
Carbondale, IL 62901-1483
Phone 618-201-9459
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All 39 Physical Therapist providers in Herrin · All 524 providers in Herrin
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