Individual
HEIDI LYNN THORNDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 CASTLE MANOR DR, LINCOLN, IL 62656-6006
(217) 735-1507
Mailing address
9368 E 2000 NORTH RD, CARLOCK, IL 61725-9567
(309) 303-2392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0016949
IL
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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