Individual
SYDNEY ELIZABETH IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1207
(815) 758-2477
Mailing address
652 HILL ST, SYCAMORE, IL 60178-3241
(402) 672-5011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008151
IL
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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