Organization
PRO-STEP REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA ANN MCDONALD PTA (PHYSICAL THERAPIST ASSISTANT)
(618) 924-0404
Entity
Organization
Contact information
Practice address
1415 COUNTRY CLUB RD, MOUNT VERNON, IN 47620-9301
(812) 838-6554
Mailing address
105 MEADOW HILLS DR, MC LEANSBORO, IL 62859-1212
(618) 924-0404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003430A
IN
225200000X
Physical Therapy Assistant
—
IL
Other
Enumeration date
07/02/2007
Last updated
07/11/2007
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