Individual
ANNETTE SUSAN CYROCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27574 2900 NORTH AVE, LA MOILLE, IL 61330-9514
(815) 866-1717
Mailing address
27574 2900 NORTH AVE, LA MOILLE, IL 61330-9514
(815) 866-1717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004522
IL
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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