Individual
JULISSA RABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E GRANT ST, MACOMB, IL 61455-3428
(309) 833-2123
Mailing address
1336 CAROLBETH AVE, MACOMB, IL 61455-3402
(309) 825-5740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008411
IL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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