Individual
MRS. CHERYL JEANNE UY RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 241-8595
(618) 241-8759
Mailing address
2205 DAKOTA LN, CENTRALIA, IL 62801-8751
(618) 292-2334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70013948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70013948
PT LICENSE
IL
Enumeration date
12/21/2005
Last updated
08/21/2012
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