Carol Sue Loughridge, PTA

NPI #1033383237 in Peoria, Illinois

Provider Information

NPI Number: 1033383237
Entity Type: Individual
Name: Carol Sue Loughridge, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Apr 17, 2008
Last Updated: Apr 17, 2008

Practice Location

Address: 6501 N SHERIDAN RD
City: Peoria
State: Illinois
ZIP Code: 61614-2932
Phone: (309) 631-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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