Individual
DIANE S SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12 WOLF CREEK DR STE 200C, SWANSEA, IL 62226-2314
(618) 628-8211
(618) 628-0883
Mailing address
916 TALON DR STE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070006227
IL
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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