Michael Dubois

NPI #1720479595 in Moline, Illinois

Provider Information

NPI Number: 1720479595
Entity Type: Individual
Name: Michael Dubois
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 13, 2015
Last Updated: Feb 13, 2015

Practice Location

Address: 3402 79TH ST
City: Moline
State: Illinois
ZIP Code: 61265-8061
Phone: (251) 709-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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