Individual
MARY MARGARET SLIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4274 E 2000TH AVE, SHUMWAY, IL 62461-2061
(217) 821-4788
Mailing address
4274 E 2000TH AVE, SHUMWAY, IL 62461-2061
(217) 821-4788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003680
IL
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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