MR. Rodolfo Luciano Cantu JR., A.T.C.,L

NPI #1356300842 in Peoria, Illinois

Provider Information

NPI Number: 1356300842
Entity Type: Individual
Name: MR. Rodolfo Luciano Cantu JR., A.T.C.,L
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: A.T.C.,L
Enumeration Date: Mar 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 456 FULTON ST
Address 2: SUITE 207
City: Peoria
State: Illinois
ZIP Code: 61602-1274
Phone: (309) 680-3764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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