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Individual

RYAN RAUSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1251 N STATE ST, JERSEYVILLE, IL 62052-1169
(618) 498-6441
Mailing address
1251 N STATE ST, JERSEYVILLE, IL 62052-1169
(618) 498-6441

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009026
IL

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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