Individual
MRS. LEIGH ANN HERTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3111 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5235
(618) 998-9894
(618) 998-9993
Mailing address
PO BOX 43, GOLCONDA, IL 62938-0043
(618) 841-0311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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