Dencel Ray Polintan

NPI #1558718627 in Sullivan, Illinois

Provider Information

NPI Number: 1558718627
Entity Type: Individual
Name: Dencel Ray Polintan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 1 MASONIC WAY
City: Sullivan
State: Illinois
ZIP Code: 61951-9467
Phone: (217) 728-4394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

Provider Name	Specialty	City
Central Illinois Physical Therapy Professionals, Ltd	Physical Therapist	Sullivan	AI Deep Dive

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