Marie Louise Illius, PTA

NPI #1407804719 in Seven Hills, Ohio

Provider Information

NPI Number
1407804719
Entity Type
Individual
Name
Marie Louise Illius, PTA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Contractor
Credential
PTA
Enumeration Date
May 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5700 LOMBARDO CTR
Address 2
ROCK RUN NORTH SUITE 205
State
Ohio
ZIP Code
44131-2540
Phone
(216) 447-1149

Specialties & Taxonomy Codes

Specialty
Contractor

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