Linda Sue Irish P.T.A.

NPI 1780091462 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780091462
Gender Female
Enumeration Date 07/15/2014
Last Updated 07/15/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
200 5TH ST
LINCOLN IL, 62656-2619, US
Phone (309) 267-9315
Business Location
500 5TH ST
LINCOLN IL, 62656-2519, US
Phone (309) 267-9315
Taxonomy Code 225200000X
License State Illinois
License Number 160001927
Remove 1780091462 NPI Number

According to our database, Linda Sue Irish P.T.A. NPI is 1780091462, taxonomy code is 225200000X and license number is 160001927, license state is located at Illinois. Linda Sue Irish P.T.A. physically located at 200 5th St, Lincoln IL, 62656-2619. NPI Number Linda Sue Irish P.T.A. has the Individual type.

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1780091462 NPI number is provided on an as is basis without warranty of any kind. 1780091462 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Sue Irish P.T.A. are for informational purposes only.