Donald Damron, PT
Physical Therapist in Streator, IL. Individual provider (NPI-1).
NPI number1992855423
StatusActive
Last updated in NPPESJun 28, 2012
Details
- NPI
- 1992855423
- Entity type
- Individual (NPI-1)
- Name
- Donald Damron
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Last updated
- Jun 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070-012891 | IL | Yes |
Practice location
111 Spring StStreator, IL 61364-3332
Phone 815-673-4549
Mailing address
111 Spring StStreator, IL 61364-3332
Phone 815-673-4549
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