MR. Cid Anthony Melocoton, PT

NPI #1154073559 in Springfield, Illinois

Provider Information

NPI Number: 1154073559
Entity Type: Individual
Name: MR. Cid Anthony Melocoton, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 26, 2022
Last Updated: Jan 26, 2022

Practice Location

Address: 2625 KIPLING DR
City: Springfield
State: Illinois
ZIP Code: 62711-6232
Phone: (217) 899-1658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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