Federico Morta David

NPI #1306014485 in Maryville, Illinois

Provider Information

NPI Number: 1306014485
Entity Type: Individual
Name: Federico Morta David
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 12, 2008
Last Updated: Feb 12, 2008

Practice Location

Address: 2928 N. CENTER ST.
City: Maryville
State: Illinois
ZIP Code: 62062
Phone: (618) 288-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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