MRS. Polly Sue Masemore, PT

NPI #1689922833 in Bloomington, Illinois

Provider Information

NPI Number: 1689922833
Entity Type: Individual
Name: MRS. Polly Sue Masemore, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 20, 2012
Last Updated: Aug 20, 2012

Practice Location

Address: 2200 E WASHINGTON ST
City: Bloomington
State: Illinois
ZIP Code: 61701-4364
Phone: (309) 662-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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