Individual
MS. BARBARA ANN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 HUBBARD AVE, DECATUR, IL 62524
(217) 875-1910
(217) 875-8899
Mailing address
2121 HUBBARD AVE, DECATUR, IL 62524
(217) 875-1910
(217) 875-8899
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BR49061004P
SERVICE COORDINATOR
IL
Enumeration date
10/26/2007
Last updated
10/26/2007
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