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TIFFANY RACHELLE SHULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
909 GREEN MILL RD, ARCOLA, IL 61910-3527
(217) 268-3516
Mailing address
308 N MISSOURI ST, TOLEDO, IL 62468-1001
(217) 821-2065

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007953
IL

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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