Richard Glen Simmons JR., PT

NPI #1881689438 in Scott Air Force Base, Illinois

Provider Information

NPI Number: 1881689438
Entity Type: Individual
Name: Richard Glen Simmons JR., PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 20, 2005
Last Updated: Jan 5, 2013

Practice Location

Address: 310 W LOSEY ST
City: Scott Air Force Base
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-6280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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