MRS. Ida Riva Jamandron Caro, PT

NPI #1104092956 in Herrin, Illinois

Provider Information

NPI Number: 1104092956
Entity Type: Individual
Name: MRS. Ida Riva Jamandron Caro, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 1, 2008
Last Updated: May 1, 2008

Practice Location

Address: 201 S 14TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-3631
Phone: (618) 942-2171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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