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Individual

KATRINA KAY DURRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1402 LESLIE DR, BLOOMINGTON, IL 61704-5405
(309) 603-2500
Mailing address
306 E LINCOLN ST, FLANAGAN, IL 61740-9030
(815) 419-8153

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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