Marlou Acosta
NPI #1629442421 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1629442421
- Entity Type
- Individual
- Name
- Marlou Acosta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 17, 2015
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 832 NORTH ST
- Address 2
- APT. 1
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-3938
- Phone
- (618) 303-6336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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