Individual
JAMES SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2110 FOX DR, CHAMPAIGN, IL 61820-7553
(217) 366-1323
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1326
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005913
IL
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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