Individual
KATIE ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E MAYWOOD AVE, PEORIA, IL 61603-1751
(800) 330-7711
Mailing address
111 E MAYWOOD AVE, PEORIA, IL 61603-1751
(800) 330-7711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006799
IL
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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